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Individual

MRS. KAREN LEA HYCHE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ODT, OTR/L

Contact information

Practice address
700 HWY 78 W, JASPER, AL 35501
(205) 471-5713
(844) 269-8087
Mailing address
PO BOX 1772, JASPER, AL 35502
(205) 471-5713
(844) 269-8087

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2347
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51518365
BCBS PROVIDER #
AL
05
890010630
AL
Enumeration date
08/30/2006
Last updated
10/16/2015
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