Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE HASTIE, PTA
Active Sole ProprietorNICOLE HASTIE, PTA is a Occupational Therapist healthcare provider located in WILLOW, New York. NPI 1639648637 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · WILLOW, NY
Registration Details
- NPI Number
- 1639648637
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 19, 2018 (7.7077668890531 yrs)
- Last Updated
- Nov 19, 2018
- License
-
004522-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4536 STATE ROUTE 212WILLOW, NY, 12495Browse NY providers · Browse ZIP 12495
- Phone
- 8457062735
- Primary Specialty
-
Occupational Therapist
225200000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.