Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 2644 | AL |
NPI | 1043407364 |
---|---|
Provider Name | Jennifer Deanna Hembree |
First Address | Huntsville, AL 35801-5315 |
Second Address | Huntsville, AL 35801-5315 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/10/2007 |
Last Update Date | 01/10/2007 |