Provider Demographics
NPI:1306081856
Name:HALLEY, JANET LYNN (OTR/L)
Entity type:Individual
Prefix:MS
First Name:JANET
Middle Name:LYNN
Last Name:HALLEY
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1534 PLEASANT ST
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:NH
Mailing Address - Zip Code:03303-7615
Mailing Address - Country:US
Mailing Address - Phone:603-848-4177
Mailing Address - Fax:
Practice Address - Street 1:151 MANCHESTER ST STE A
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-5132
Practice Address - Country:US
Practice Address - Phone:603-228-1028
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-12
Last Update Date:2008-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0165225X00000X, 225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist