DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: HALEY PENDERGAST

MEDICARE: HALEY PENDERGAST
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist

General Provider Information

NPI Number : 1649990664
Entity Type Code : Individual
Provider Name (Legal Business Name) : HALEY PENDERGAST
Provider Business Mailing Address
First Line : 62 KINGSBURY DR
Second Line :
City : TRUMBULL
State : CT
Zip : 06611-5014
Country : US
Telephone Number : 203-612-0515
Fax Number :
Provider Business Practice Location Address
First Line : 1839 ONSLOW DR
Second Line :
City : JACKSONVILLE
State : NC
Zip : 28540-5906
Country : US
Telephone Number : 910-455-3610
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2022
Last Update Date : 08/30/2022

Similar Medicare Providers

1568659993 — BRITTHAVEN, INC.
Practice Location Address:
1839 ONSLOW DR
JACKSONVILLE, NC
28540-5906
Practice Phone: 910-455-3610
Practice Fax: 910-455-3993
1467611905 — MR. CARL JASON ANTONIL VILLANUEVA PT
Practice Location Address:
1839 ONSLOW DR
JACKSONVILLE, NC
28540-5906
Practice Phone: 910-455-3610
Practice Fax:
1710146261 — MS. DONNA MARIE HUNT PTA
Practice Location Address:
1839 ONSLOW DR
JACKSONVILLE, NC
28540-5906
Practice Phone: 910-455-3610
Practice Fax:
1578722021 — MRS. AMY LEE MCCOMISH OTR/L
Practice Location Address:
1839 ONSLOW DR
JACKSONVILLE, NC
28540-5906
Practice Phone: 910-455-3610
Practice Fax:
1295492965 — MRS. OLIVIA NORRIS HOLLAND COTA/L
Practice Location Address:
1839 ONSLOW DR
JACKSONVILLE, NC
28540-5906
Practice Phone: 910-455-3610
Practice Fax:
1720727456 — ALLISON ODDI
Practice Location Address:
1839 ONSLOW DR
JACKSONVILLE, NC
28540-5906
Practice Phone: 910-455-3610
Practice Fax:

Directions to “ HALEY PENDERGAST ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.