Mrs Ciara Alexis Hathaway, OTR is a
Occupational Therapist based in Walton, New York. Mrs Ciara Alexis Hathaway is licensed to practice in New York (license number P115725) and her current practice location is
1 Titus Pl, Walton, New York. She can be reached at her office (for appointments etc.) via phone at
(607) 865-2155.
NPI number for Mrs Ciara Alexis Hathaway is 1730812405 and her current mailing address is 15 Diane Dr, Otego, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1730812405.
Healthcare Provider's Profile
| Full Name | Mrs Ciara Alexis Hathaway |
|---|
| Gender | Female |
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| Speciality | Occupational Therapist |
|---|
| Location | 1 Titus Pl, Walton, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1730812405
- Provider Enumeration Date: 07/08/2022
- Last Update Date: 07/08/2022
Medical Identifiers
Medical identifiers for Mrs Ciara Alexis Hathaway such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730812405 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | P115725 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Ciara Alexis Hathaway is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Ciara Alexis Hathaway, OTR
15 Diane Dr,
Otego, NY 13825-2167
Ph: (570) 301-3123 | Mrs Ciara Alexis Hathaway, OTR
1 Titus Pl,
Walton, NY 13856-1457
Ph: (607) 865-2155 |
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