Individual
TRACY L HAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
118 REALINI DR, HAVELOCK, NC 28532-9403
(252) 665-8819
(252) 254-2705
Mailing address
118 REALINI DR, HAVELOCK, NC 28532-9403
(252) 665-8819
(252) 254-2705
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5321
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018TE
BLUE CROSS AND BLUE SHIELD
NC
Enumeration date
03/26/2012
Last updated
04/23/2021
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