Healthcare Provider Details

I. General information

NPI: 1982254629
Provider Name (Legal Business Name): HAYLEE HUNTER MCGREGOR OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2019
Last Update Date: 09/13/2026
Certification Date: 09/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3620 COVENANT RD
COLUMBIA SC
29204-4216
US

IV. Provider business mailing address

120 WARDEN WAY
IRMO SC
29063-9176
US

V. Phone/Fax

Practice location:
  • Phone: 803-787-3033
  • Fax:
Mailing address:
  • Phone: 803-477-7341
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number8112
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: