Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist |
NPI | 1003472127 |
---|---|
Provider Name | Healy Lane Hindley |
First Address | Cherry Hill, NJ 08003-1000 |
Second Address | Beachwood, OH 44122-4328 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2019 |
Last Update Date | 14/05/2019 |