Healthcare Provider Details

I. General information

NPI: 1013853118
Provider Name (Legal Business Name): KABRINA HOBSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3868 CENTRAL PIKE APT 1321
HERMITAGE TN
37076-3484
US

IV. Provider business mailing address

3868 CENTRAL PIKE APT 1321
HERMITAGE TN
37076-3484
US

V. Phone/Fax

Practice location:
  • Phone: 901-502-1292
  • Fax:
Mailing address:
  • Phone: 901-502-1292
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number4350
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: