Individual
KAYCEE HINCKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, OTR/L
Contact information
Practice address
#102 CR 0061, EMBUDO, NM 87531
(307) 272-0181
Mailing address
PO BOX 157, ESPANOLA, NM 87532-0157
(307) 272-0181
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3187
NM
Other
Enumeration date
03/17/2014
Last updated
03/17/2014
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