Provider Demographics
NPI:1841908852
Name:VESLEY, HILLARY (OTR/L)
Entity type:Individual
Prefix:
First Name:HILLARY
Middle Name:
Last Name:VESLEY
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:HILLARY
Other - Middle Name:
Other - Last Name:MARTINEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:5208 ROGERS LN UNIT 1
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78724-6140
Mailing Address - Country:US
Mailing Address - Phone:215-384-3141
Mailing Address - Fax:
Practice Address - Street 1:210 MAGNATE DR STE 100
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-3871
Practice Address - Country:US
Practice Address - Phone:215-384-3141
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-08
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX120900225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist