Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 109573 | TX |
NPI | 1003856808 |
---|---|
Provider Name | Michele Corrao Hutchinson |
First Address | Mckinney, TX 75070-8144 |
Second Address | Mckinney, TX 75069-1806 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2006 |
Last Update Date | 27/05/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
140549003 | (05) | TX |