Robin Cary Harville, OTR

Individual provider Active NPI Occupational Therapist · Diboll, TX

NPI 1174003115 · NPPES record last updated Aug 20, 2018

Key facts

NPI
1174003115
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
104514 (TX)
Practice address
900 S Temple Dr
Diboll, TX 75941-2725
Phone
(936) 829-5501
Fax
(936) 829-5503
NPI assigned
Aug 20, 2018
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
104514TXMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 104514 TX Yes

Addresses

Primary practice location

900 S Temple Dr
Diboll, TX 75941-2725

Mailing address

900 S Temple Dr
Diboll, TX 75941-2725
Phone (936) 829-5501

Other providers in Diboll, TX

All providers in Diboll, TX · Occupational Therapist in Texas

Sources for this page

Verify at the official NPI Registry.