Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 2073 | NH |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 9747 | MA |
NPI | 1144452632 |
---|---|
Provider Name | Jennifer Hinkle |
First Address | Amesbury, MA 01913-2123 |
Second Address | Amesbury, MA 01913-2123 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2009 |
Last Update Date | 17/08/2009 |