Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 292640 | CA |
N | 225X00000X | Occupational Therapist | 15820 | CA |
NPI | 1003355330 |
---|---|
Provider Name | Lindsey Hatcher |
First Address | San Mateo, CA 94401-1707 |
Second Address | San Francisco, CA 94107-2451 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/02/2017 |
Last Update Date | 20/02/2017 |