Individual
JULIA G. HINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
2109 HOLDER RD, VANCLEAVE, MS 39565-8741
(228) 826-3059
(228) 826-3059
Mailing address
2109 HOLDER RD, VANCLEAVE, MS 39565-8741
(228) 826-3059
(228) 826-3059
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1382
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01577288
—
MS
Enumeration date
01/03/2008
Last updated
01/03/2008
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