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NPI Code Detail

MEDICARE: MRS. DEANNA HURLEY OTR/L

MEDICARE: MRS. DEANNA HURLEY 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
1225XM0800XMental Health Occupational Therapist072.0000430VT
2225XP0019XPhysical Rehabilitation Occupational Therapist072-0000430VT
3225XP0200XPediatric Occupational Therapist072-0000430VT

General Provider Information

NPI Number : 1861553000
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DEANNA HURLEY OTR/L
Provider Business Mailing Address
First Line : 279 MCNALL RD
Second Line :
City : FAIRFAX
State : VT
Zip : 05454-9554
Country : US
Telephone Number : 802-922-3159
Fax Number :
Provider Business Practice Location Address
First Line : 66 MORRISVILLE PLZ
Second Line :
City : MORRISVILLE
State : VT
Zip : 05661-4482
Country : US
Telephone Number : 802-477-2577
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2006
Last Update Date : 05/22/2025

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