Individual
GERALD WALTER HAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
1651 RICHFIELD RD, HIGHLAND PARK, IL 60035-2950
(847) 748-8954
Mailing address
12116 W BLUEMOUND RD APT 14, WAUWATOSA, WI 53226-3862
(305) 281-9866
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.004357
IL
Other
Enumeration date
12/21/2015
Last updated
12/21/2015
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