Provider Demographics
NPI:1124527940
Name:HINEY, GINGER L (COTA)
Entity type:Individual
Prefix:MS
First Name:GINGER
Middle Name:L
Last Name:HINEY
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5018 MAPLE BROOK LN
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77345-1020
Mailing Address - Country:US
Mailing Address - Phone:281-714-9448
Mailing Address - Fax:
Practice Address - Street 1:5018 MAPLE BROOK LN
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77345-1020
Practice Address - Country:US
Practice Address - Phone:281-714-9448
Practice Address - Fax:281-714-9448
Is Sole Proprietor?:No
Enumeration Date:2018-02-07
Last Update Date:2018-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX211894224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant