Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 12179 | CA |
NPI | 1083991541 |
---|---|
Provider Name | Heather Richins |
First Address | Napa, CA 94558-3329 |
Second Address | Napa, CA 94558-3329 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/11/2011 |
Last Update Date | 25/10/2016 |