Haley Ognenovski
Individual provider Active NPI Occupational Therapy Assistant · Mendon, MO
NPI 1447657168 · NPPES record last updated Nov 24, 2014
Key facts
- NPI
- 1447657168
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 2014001724 (MO)
- Practice address
- 401 Long St
Mendon, MO 64660-8108 - Phone
- (660) 734-8146
- NPI assigned
- Nov 24, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 2014001724 | MO | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 2014001724 | MO | Yes |
Addresses
Primary practice location
401 Long St
Mendon, MO 64660-8108
Mailing address
401 Long St
Mendon, MO 64660-8108
Phone (660) 734-8146
Other providers in Mendon, MO
All providers in Mendon, MO · Occupational Therapy Assistant in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 24, 2014. 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.