MEDICARE: DEBBIAN HAY MS OT

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
1	225X00000X	Occupational Therapist		TX

General Provider Information

NPI Number	:	1043414212
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBBIAN HAY MS OT

Provider Business Mailing Address
First Line	:	129 ALONDRA WAY
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78681-1789
Country	:	US
Telephone Number	:	917-838-2098
Fax Number	:

Provider Business Practice Location Address
First Line	:	333 PARK AVE S
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10010-2906
Country	:	US
Telephone Number	:	212-388-1903
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/12/2007
Last Update Date	:	02/12/2018

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