Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 46TR00742900 | NJ |
NPI | 1003278805 |
---|---|
Provider Name | Catherine Hill |
First Address | West Deptford, NJ 08096-3159 |
Second Address | West Deptford, NJ 08096-3159 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/03/2016 |
Last Update Date | 03/06/2016 |