Provider Demographics
NPI:1811764699
Name:SANCHEZ, HILARY NICOLE (OTD,OTR/L)
Entity type:Individual
Prefix:
First Name:HILARY
Middle Name:NICOLE
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:OTD,OTR/L
Other - Prefix:
Other - First Name:HILARY
Other - Middle Name:NICOLE
Other - Last Name:GRIFFIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTD,OTR/L
Mailing Address - Street 1:1701 W 25TH ST
Mailing Address - Street 2:
Mailing Address - City:SIOUX CITY
Mailing Address - State:IA
Mailing Address - Zip Code:51103-1705
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1701 W 25TH ST
Practice Address - Street 2:
Practice Address - City:SIOUX CITY
Practice Address - State:IA
Practice Address - Zip Code:51103-1705
Practice Address - Country:US
Practice Address - Phone:712-252-2726
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-11
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA114918225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist