Individual
GRADY MICHAEL HAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTRL
Contact information
Practice address
86 VALLEY HIDEAWAY DR, HAYESVILLE, NC 28904-9674
(828) 389-9941
(828) 389-3712
Mailing address
1079 NOTTELY DAM RD, BLAIRSVILLE, GA 30512-1798
(912) 253-8718
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7464
NC
225X00000X
Occupational Therapist
OT002619
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000978865
—
GA
Enumeration date
12/30/2006
Last updated
06/29/2012
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