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NPI Code Detail

MEDICARE: PRISCA M HAYES OTR/L

MEDICARE: PRISCA M HAYES 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
1225XH1200XHand Occupational TherapistOT12972FL

General Provider Information

NPI Number : 1861254682
Entity Type Code : Individual
Provider Name (Legal Business Name) : PRISCA M HAYES OTR/L
Provider Business Mailing Address
First Line : 299 MACON DR
Second Line :
City : TITUSVILLE
State : FL
Zip : 32780-9104
Country : US
Telephone Number : 321-890-7698
Fax Number :
Provider Business Practice Location Address
First Line : 712 CHENEY HWY
Second Line :
City : TITUSVILLE
State : FL
Zip : 32780-6959
Country : US
Telephone Number : 321-269-8155
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2024
Last Update Date : 02/10/2026

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Directions to “ PRISCA M HAYES OTR/L” Practice Location

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