Basic Information
| Provider Information | |||||||||
| NPI: | 1447730312 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | YOSHII | ||||||||
| FirstName: | HAZEL | ||||||||
| MiddleName: | KATHLEEN | ||||||||
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| Credential: | OT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3607 JUNIPER HILLS ST | ||||||||
| Address2: | |||||||||
| City: | CEDAR PARK | ||||||||
| State: | TX | ||||||||
| PostalCode: | 786137386 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5129642030 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1511 MARLANDWOOD RD | ||||||||
| Address2: | |||||||||
| City: | TEMPLE | ||||||||
| State: | TX | ||||||||
| PostalCode: | 765023338 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2548996500 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/20/2018 | ||||||||
| LastUpdateDate: | 08/20/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225XG0600X | 112720 | TX | N | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Gerontology | 225X00000X | 112720 | TX | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
No ID Information.