Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | OTA13808 |
NPI | 1003225996 |
---|---|
Provider Name | Mrs. Beth A Hutchinson |
First Address | Sebastian, FL 32958-5150 |
Second Address | Fort Pierce, FL 34981 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2014 |
Last Update Date | 05/08/2014 |