Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 114040 | TX |
NPI | 1043518434 |
---|---|
Provider Name | Karissa Michelle Hill |
First Address | Arlington, TX 76017-4411 |
Second Address | Mansfield, TX 76063-7817 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/03/2011 |
Last Update Date | 08/03/2011 |