Provider Demographics
NPI:1154363885
Name:HYMAN, DEBORAH HELEN (OTR)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:HELEN
Last Name:HYMAN
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 BUTTERNUT LN
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92612-2803
Mailing Address - Country:US
Mailing Address - Phone:949-552-4219
Mailing Address - Fax:949-552-5391
Practice Address - Street 1:11 BUTTERNUT LN
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92612-2803
Practice Address - Country:US
Practice Address - Phone:949-552-4219
Practice Address - Fax:949-552-5391
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2316225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist