Provider Demographics
NPI:1629300249
Name:HALBY, ILA BRIGGS (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:ILA
Middle Name:BRIGGS
Last Name:HALBY
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 1:950 ZENO RD
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:VT
Mailing Address - Zip Code:05443-9107
Mailing Address - Country:US
Mailing Address - Phone:508-989-5343
Mailing Address - Fax:
Practice Address - Street 1:950 ZENO RD
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:VT
Practice Address - Zip Code:05443-9107
Practice Address - Country:US
Practice Address - Phone:508-989-5343
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-07
Last Update Date:2010-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT072.0044970225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics