Provider Demographics
NPI:1003455353
Name:SCHLESIER, HALEIGH BETHANN (COTA/L)
Entity Type:Individual
Prefix:
First Name:HALEIGH
Middle Name:BETHANN
Last Name:SCHLESIER
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:129 SCOTT JOHNSON RD
Mailing Address - Street 2:
Mailing Address - City:CROSSETT
Mailing Address - State:AR
Mailing Address - Zip Code:71635-8631
Mailing Address - Country:US
Mailing Address - Phone:870-500-8704
Mailing Address - Fax:
Practice Address - Street 1:129 SCOTT JOHNSON RD
Practice Address - Street 2:
Practice Address - City:CROSSETT
Practice Address - State:AR
Practice Address - Zip Code:71635-8631
Practice Address - Country:US
Practice Address - Phone:970-500-8704
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-03
Last Update Date:2020-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AROT-A1480224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant