Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XG0600X | Occupational Therapist - Gerontology | 103313 | TX |
NPI | 1588112783 |
---|---|
Provider Name | Sherri Lynn Hoya |
First Address | Dickinson, TX 77539-6803 |
Second Address | League City, TX 77573-6812 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/09/2016 |
Last Update Date | 15/09/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
004881 | NATIONAL BOARD OF OCCUPATIONAL THERAPY EXAMINERS (01) | TX |
103313 | TEXAS BOARD OF OCCUPATIONAL THERAPY EXAMINERS (01) | TX |