Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225XF0002X | Feeding, Eating & Swallowing | OT 6609 | CA |
N | 225XH1200X | Occupational Therapist - Hand | OT 6609 | CA |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | OT 6609 | CA |
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | OT 6609 | CA |
NPI | 1154621225 |
---|---|
Provider Name | Kate Adeline Hayner |
First Address | Orinda, CA 94563-3211 |
Second Address | Orinda, CA 94563-3211 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/10/2010 |
Last Update Date | 23/10/2010 |