Provider Demographics
NPI:1174842124
Name:EHAT, NANCY LAHEY (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:LAHEY
Last Name:EHAT
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1880 LENOLT ST
Mailing Address - Street 2:
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94063-1059
Mailing Address - Country:US
Mailing Address - Phone:650-704-4921
Mailing Address - Fax:
Practice Address - Street 1:333 GELLERT BLVD STE 101
Practice Address - Street 2:
Practice Address - City:DALY CITY
Practice Address - State:CA
Practice Address - Zip Code:94015-2614
Practice Address - Country:US
Practice Address - Phone:650-991-9911
Practice Address - Fax:650-991-9898
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-28
Last Update Date:2010-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT 3794225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics