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NPI Code Detail

MEDICARE: MS. JOAN AGNES HAY OTR/L

MEDICARE:  MS. JOAN AGNES HAY  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
1225XP0200XPediatric Occupational TherapistOT010001443DC

General Provider Information

NPI Number : 1861982779
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JOAN AGNES HAY OTR/L
Provider Business Mailing Address
First Line : 1720 A ST SE
Second Line :
City : WASHINGTON
State : DC
Zip : 20003-1617
Country : US
Telephone Number : 410-440-4146
Fax Number :
Provider Business Practice Location Address
First Line : 6201 5TH ST NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20011-1336
Country : US
Telephone Number : 202-576-6156
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2018
Last Update Date : 05/16/2018

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Directions to “ MS. JOAN AGNES HAY OTR/L” Practice Location

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