Cantrell, Haley Fain

Cantrell, Haley Fain is an individual health care provider with primary practice located at 5310 Matt Hwy Ste 105 , Cumming GA 30028-8611. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is her primary health care specialty. Cantrell, Haley Fain can be contacted via phone (470) 239-4255.

Contact Information

Primary practice address
5310 Matt Hwy Ste 105 Cumming GA 30028-8611
Phone: (470) 239-4255
Fax: (470) 427-2997
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT007277 Georgia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X OT007277 Georgia

Profile Details

NPI number 1932665783
LBN Legal business name Cantrell, Haley Fain
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 18th, 2019
Last updated Apr 29th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932665783 NPPES
Georgia MEDICAID 003215873C

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