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NPI Code Detail

MEDICARE: HAYLEY GORGES OTR/L

MEDICARE:   HAYLEY  GORGES  OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist027178-01NY

General Provider Information

NPI Number : 1659096741
Entity Type Code : Individual
Provider Name (Legal Business Name) : HAYLEY GORGES OTR/L
Provider Business Mailing Address
First Line : 117 HENRY ST
Second Line :
City : PENN YAN
State : NY
Zip : 14527-1507
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2099 W RIDGE RD
Second Line :
City : ROCHESTER
State : NY
Zip : 14626-2728
Country : US
Telephone Number : 607-235-3980
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2022
Last Update Date : 10/11/2022

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Directions to “ HAYLEY GORGES OTR/L” Practice Location

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