Individual
HAILEY DE ANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3415 GREYSTONE DR STE 300, AUSTIN, TX 78731-2365
(512) 828-3990
Mailing address
5220 SPRING VALLEY RD STE 300, DALLAS, TX 75254-1944
(469) 291-8500
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
124461
TX
Other
Enumeration date
01/20/2026
Last updated
01/20/2026
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