Provider Demographics
NPI:1427702984
Name:HINES, MARIE JOANNE (OTR)
Entity type:Individual
Prefix:
First Name:MARIE JOANNE
Middle Name:
Last Name:HINES
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 1:2099 TSUSHIMA ST
Mailing Address - Street 2:
Mailing Address - City:HERCULES
Mailing Address - State:CA
Mailing Address - Zip Code:94547-5480
Mailing Address - Country:US
Mailing Address - Phone:361-935-1149
Mailing Address - Fax:
Practice Address - Street 1:26660 PATRICK AVE
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94544-3808
Practice Address - Country:US
Practice Address - Phone:510-782-1845
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-03
Last Update Date:2022-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist