Healthcare Provider Details

I. General information

NPI: 1861553000
Provider Name (Legal Business Name): DEANNA HURLEY OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/12/2006
Last Update Date: 05/22/2025
Certification Date: 05/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

66 MORRISVILLE PLZ
MORRISVILLE VT
05661-4482
US

IV. Provider business mailing address

279 MCNALL RD
FAIRFAX VT
05454-9554
US

V. Phone/Fax

Practice location:
  • Phone: 802-477-2577
  • Fax:
Mailing address:
  • Phone: 802-922-3159
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XM0800X
TaxonomyMental Health Occupational Therapist
License Number072.0000430
License Number StateVT
# 2
Primary TaxonomyN
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License Number072-0000430
License Number StateVT
# 3
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number072-0000430
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: