Individual
HAILEY YOSHINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
11886 GREENVILLE AVE STE 110, DALLAS, TX 75243-3569
(214) 349-6178
(214) 575-9898
Mailing address
2200 W PARK BLVD APT 1704, PLANO, TX 75075-2977
(940) 597-1231
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
122539
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
122539
OT LICENSE NUMBER
TX
Enumeration date
03/15/2022
Last updated
03/15/2022
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