Hali Christine Frederick, COTA

Individual provider Active NPI Occupational Therapy Assistant · Silsbee, TX

NPI 1508499237 · NPPES record last updated Feb 21, 2020

Key facts

NPI
1508499237
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
216162 (TX)
Practice address
920 E Avenue L
Silsbee, TX 77656-5014
Phone
(409) 385-5571
NPI assigned
Feb 21, 2020
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
216162TXMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 216162 TX Yes

Addresses

Primary practice location

920 E Avenue L
Silsbee, TX 77656-5014

Mailing address

1838 County Road 443
Kirbyville, TX 75956-4696
Phone (409) 622-1514

Other providers in Silsbee, TX

All providers in Silsbee, TX · Occupational Therapy Assistant in Texas

Sources for this page

Verify at the official NPI Registry.