Provider Demographics
NPI:1417979931
Name:LUKEY O'HAYER, BETSY (OTR/L)
Entity Type:Individual
Prefix:
First Name:BETSY
Middle Name:
Last Name:LUKEY O'HAYER
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 1:188 NORWICH AVE
Mailing Address - Street 2:STE C9
Mailing Address - City:COLCHESTER
Mailing Address - State:CT
Mailing Address - Zip Code:06415-1256
Mailing Address - Country:US
Mailing Address - Phone:860-537-0399
Mailing Address - Fax:860-537-0394
Practice Address - Street 1:188 NORWICH AVE
Practice Address - Street 2:STE C9
Practice Address - City:COLCHESTER
Practice Address - State:CT
Practice Address - Zip Code:06415-1256
Practice Address - Country:US
Practice Address - Phone:860-537-0399
Practice Address - Fax:860-537-0394
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2010-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002974225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist