Haley Elaine Dartlone, COTA
Individual provider Active NPI Specialist · Sondheimer, LA
NPI 1043764475 · NPPES record last updated Aug 15, 2016
Key facts
- NPI
- 1043764475
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- OT-A1129 (AR)
- Practice address
- 16954 Highway 65 S
Sondheimer, LA 71276-7623 - Phone
- (318) 669-6719
- Fax
- (870) 265-2525
- NPI assigned
- Aug 15, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT-A1129 | AR | MD | Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | OT-A1129 | AR | Yes |
Addresses
Primary practice location
16954 Highway 65 S
Sondheimer, LA 71276-7623
Mailing address
16954 Highway 65 S
Sondheimer, LA 71276-7623
Phone (318) 669-6719
Other providers in Sondheimer, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.