Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 213271 | TX |
NPI | 1023598117 |
---|---|
Provider Name | Della Hokett |
First Address | High Island, TX 77623-0026 |
Second Address | Port Arthur, TX 77640-2428 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2018 |
Last Update Date | 17/08/2018 |