Provider Demographics
NPI:1386432458
Name:OSBORNE, HAYLEE MAKENNA (OT)
Entity type:Individual
Prefix:MISS
First Name:HAYLEE
Middle Name:MAKENNA
Last Name:OSBORNE
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1716 CATHERINE CT STE 2A
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36830-5735
Mailing Address - Country:US
Mailing Address - Phone:334-610-0169
Mailing Address - Fax:334-591-2678
Practice Address - Street 1:1716 CATHERINE CT STE 2A
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36830-5735
Practice Address - Country:US
Practice Address - Phone:334-610-0169
Practice Address - Fax:334-591-2678
Is Sole Proprietor?:No
Enumeration Date:2025-04-29
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL6679225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist