Healthcare Provider Details
I. General information
NPI: 1275700411
Provider Name (Legal Business Name): KAREN LYNN HINDS OT
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/15/2008
Last Update Date: 05/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
410 CARTER
HONDO TX
78861-1531
US
IV. Provider business mailing address
819 WATER ST 300
KERRVILLE TX
78028-5333
US
V. Phone/Fax
- Phone: 830-741-8083
- Fax: 830-741-8126
- Phone: 830-258-5430
- Fax: 830-792-5771
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225X00000X |
| Taxonomy | Occupational Therapist |
| License Number | 107368 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: