Provider Demographics
NPI:1497154777
Name:SMITH-HAY, JULIE (COTA/L)
Entity Type:Individual
Prefix:MS
First Name:JULIE
Middle Name:
Last Name:SMITH-HAY
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2115 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:POINT PLEASANT
Mailing Address - State:WV
Mailing Address - Zip Code:25550-1421
Mailing Address - Country:US
Mailing Address - Phone:304-675-4653
Mailing Address - Fax:
Practice Address - Street 1:2115 N MAIN ST
Practice Address - Street 2:
Practice Address - City:POINT PLEASANT
Practice Address - State:WV
Practice Address - Zip Code:25550-1421
Practice Address - Country:US
Practice Address - Phone:304-675-4653
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-22
Last Update Date:2014-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVC1964224Z00000X
OHOTA.05856224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant