Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 112720 | TX |
N | 225XG0600X | Occupational Therapist - Gerontology | 112720 | TX |
NPI | 1447730312 |
---|---|
Provider Name | Hazel Kathleen Yoshii |
First Address | Cedar Park, TX 78613-7386 |
Second Address | Temple, TX 76502-3338 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2018 |
Last Update Date | 20/08/2018 |