Provider Demographics
NPI:1215161138
Name:HILL, CARRIE D (OT)
Entity type:Individual
Prefix:
First Name:CARRIE
Middle Name:D
Last Name:HILL
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2105 GERMANTOWN
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-4568
Mailing Address - Country:US
Mailing Address - Phone:214-668-7929
Mailing Address - Fax:
Practice Address - Street 1:2105 GERMANTOWN
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-4568
Practice Address - Country:US
Practice Address - Phone:214-668-7929
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-06
Last Update Date:2010-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX106324225X00000X
OK1260225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist