Provider Demographics
NPI:1982117529
Name:MCGILL, HAYLEY (OTR/L)
Entity Type:Individual
Prefix:
First Name:HAYLEY
Middle Name:
Last Name:MCGILL
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 1:3 DUCHESS DR
Mailing Address - Street 2:
Mailing Address - City:OLD LYME
Mailing Address - State:CT
Mailing Address - Zip Code:06371-1357
Mailing Address - Country:US
Mailing Address - Phone:860-930-8594
Mailing Address - Fax:
Practice Address - Street 1:4 GREENTREE DR
Practice Address - Street 2:
Practice Address - City:WATERFORD
Practice Address - State:CT
Practice Address - Zip Code:06385-4116
Practice Address - Country:US
Practice Address - Phone:860-442-0647
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-06
Last Update Date:2017-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT4860225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist