Provider Demographics
NPI:1083373732
Name:CHAPPELL, HALEY
Entity Type:Individual
Prefix:
First Name:HALEY
Middle Name:
Last Name:CHAPPELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1233 COUNTY LINE RD
Mailing Address - Street 2:
Mailing Address - City:BELVIDERE
Mailing Address - State:NC
Mailing Address - Zip Code:27919-9757
Mailing Address - Country:US
Mailing Address - Phone:252-394-4232
Mailing Address - Fax:
Practice Address - Street 1:312 ACADEMY ST S STE G
Practice Address - Street 2:
Practice Address - City:AHOSKIE
Practice Address - State:NC
Practice Address - Zip Code:27910-3200
Practice Address - Country:US
Practice Address - Phone:252-276-2194
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-09
Last Update Date:2021-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant