Healthcare Provider Details

I. General information

NPI: 1043680663
Provider Name (Legal Business Name): EMILY HINES OTR/L, CHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2015
Last Update Date: 02/14/2023
Certification Date: 02/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 GREENWAY PLZ STE 1525
HOUSTON TX
77046-0812
US

IV. Provider business mailing address

3139 W HOLCOMBE BLVD # A170
HOUSTON TX
77025-1533
US

V. Phone/Fax

Practice location:
  • Phone: 713-401-6014
  • Fax:
Mailing address:
  • Phone: 713-401-6014
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number119609
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number15-0624
License Number StateNV
# 3
Primary TaxonomyY
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number15-0624
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: