Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OTT.200722 | LA |
N | 225XP0200X | Occupational Therapist - Pediatrics | 015541-1 | NY |
NPI | 1073820494 |
---|---|
Provider Name | Mrs. Alice Hiller |
First Address | New Orleans, LA 70125 |
Second Address | New Orleans, LA 70125 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/09/2010 |
Last Update Date | 09/09/2014 |