Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 861 | AL |
NPI | 1194397992 |
---|---|
Provider Name | Mrs. Catherine Hayes |
First Address | Auburn, AL 36832-6719 |
Second Address | Auburn, AL 36832-6719 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2021 |
Last Update Date | 13/07/2021 |