Provider Demographics
NPI:1982036588
Name:PLIFKA, HALEY JEAN (OTR/L)
Entity Type:Individual
Prefix:
First Name:HALEY
Middle Name:JEAN
Last Name:PLIFKA
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 1:435 SCHOFIELD MOUNTAIN RD
Mailing Address - Street 2:PO BOX 459
Mailing Address - City:WINCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03470
Mailing Address - Country:US
Mailing Address - Phone:603-762-3701
Mailing Address - Fax:
Practice Address - Street 1:435 SCHOFIELD MOUNTAIN RD
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03470
Practice Address - Country:US
Practice Address - Phone:603-762-3701
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-06
Last Update Date:2013-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2295225X00000X
MA10899225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist