Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 205825 | TX |
NPI | 1023280385 |
---|---|
Provider Name | Catherine J Hyde |
First Address | Easton, PA 18040-7958 |
Second Address | Farmers Branch, TX 75234-5074 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2008 |
Last Update Date | 27/03/2008 |