Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | OT16283 | CA |
NPI | 1033569835 |
---|---|
Provider Name | Maree Hay |
First Address | Redwood City, CA 94065-1133 |
Second Address | Redwood City, CA 94065-1133 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2016 |
Last Update Date | 13/06/2016 |