Provider Demographics
NPI:1467337139
Name:EUBANK, HALEY MORGAN (OTR/L)
Entity type:Individual
Prefix:
First Name:HALEY
Middle Name:MORGAN
Last Name:EUBANK
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:PO BOX 652
Mailing Address - Street 2:
Mailing Address - City:BURGESS
Mailing Address - State:VA
Mailing Address - Zip Code:22432-0652
Mailing Address - Country:US
Mailing Address - Phone:804-480-0506
Mailing Address - Fax:
Practice Address - Street 1:191 SCHOOL ST
Practice Address - Street 2:
Practice Address - City:KILMARNOCK
Practice Address - State:VA
Practice Address - Zip Code:22482-3842
Practice Address - Country:US
Practice Address - Phone:804-480-0506
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119010817225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist