Provider Demographics
NPI:1376925628
Name:HURLBURT, DONNA (OTR)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:
Last Name:HURLBURT
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21703 KINGSLAND BLVD
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-2520
Mailing Address - Country:US
Mailing Address - Phone:281-769-1015
Mailing Address - Fax:281-717-8947
Practice Address - Street 1:21703 KINGSLAND BLVD
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-2520
Practice Address - Country:US
Practice Address - Phone:281-769-1015
Practice Address - Fax:281-717-8947
Is Sole Proprietor?:No
Enumeration Date:2015-06-23
Last Update Date:2015-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist