Provider Demographics
NPI:1376389148
Name:STRAND, HALEY ALYSSA (OTR/L)
Entity type:Individual
Prefix:
First Name:HALEY
Middle Name:ALYSSA
Last Name:STRAND
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MRS
Other - First Name:HALEY
Other - Middle Name:ALYSSA
Other - Last Name:SHERWOOD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1440 HERITAGE LNDG APT 309
Mailing Address - Street 2:
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63303-8472
Mailing Address - Country:US
Mailing Address - Phone:314-750-4144
Mailing Address - Fax:
Practice Address - Street 1:15201 OLIVE BLVD
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-1810
Practice Address - Country:US
Practice Address - Phone:636-898-8500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-02
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2024018083225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist