Healthcare Provider Details

I. General information

NPI: 1477477891
Provider Name (Legal Business Name): HAYLEY GRACE MACNEIL MOT, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 ERDMAN WAY STE 208
LEOMINSTER MA
01453
US

IV. Provider business mailing address

129 MILL STREET EXT
LANCASTER MA
01523-2003
US

V. Phone/Fax

Practice location:
  • Phone: 978-870-1840
  • Fax: 978-870-1846
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOTL36801
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: