Provider Demographics
NPI:1891076584
Name:TALBERT, HAYLEY KATHRYNE (BOCC THERAPY)
Entity Type:Individual
Prefix:
First Name:HAYLEY
Middle Name:KATHRYNE
Last Name:TALBERT
Suffix:
Gender:F
Credentials:BOCC THERAPY
Other - Prefix:
Other - First Name:HAYLEY
Other - Middle Name:KATHRYNE
Other - Last Name:ARMOUR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BOCC THERAPY
Mailing Address - Street 1:6506 LOISDALE RD
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22150-1824
Mailing Address - Country:US
Mailing Address - Phone:703-924-4100
Mailing Address - Fax:
Practice Address - Street 1:6506 LOISDALE RD
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22150-1824
Practice Address - Country:US
Practice Address - Phone:703-924-4100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-08
Last Update Date:2011-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119005451225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist