Provider Demographics
NPI:1184146409
Name:PRETTYMAN, HALEY LAYTON (COTA/L)
Entity type:Individual
Prefix:MRS
First Name:HALEY
Middle Name:LAYTON
Last Name:PRETTYMAN
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:HALEY
Other - Middle Name:MACKENZIE
Other - Last Name:LAYTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:28765 GOT CHICKEN LN
Mailing Address - Street 2:
Mailing Address - City:SEAFORD
Mailing Address - State:DE
Mailing Address - Zip Code:19973-8312
Mailing Address - Country:US
Mailing Address - Phone:302-604-4868
Mailing Address - Fax:
Practice Address - Street 1:610 DUTCHMANS LN
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:MD
Practice Address - Zip Code:21601-3346
Practice Address - Country:US
Practice Address - Phone:410-822-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-07
Last Update Date:2017-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDA02356224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant