Provider Demographics
NPI:1598248866
Name:SOTO, HILDA AGUADO (OT)
Entity Type:Individual
Prefix:
First Name:HILDA
Middle Name:AGUADO
Last Name:SOTO
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:HILDA
Other - Middle Name:
Other - Last Name:SOTO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OT
Mailing Address - Street 1:414 MEADOW VIEW DR
Mailing Address - Street 2:
Mailing Address - City:ADKINS
Mailing Address - State:TX
Mailing Address - Zip Code:78101-2652
Mailing Address - Country:US
Mailing Address - Phone:210-380-1044
Mailing Address - Fax:
Practice Address - Street 1:1615 11TH ST
Practice Address - Street 2:
Practice Address - City:FLORESVILLE
Practice Address - State:TX
Practice Address - Zip Code:78114-2403
Practice Address - Country:US
Practice Address - Phone:830-216-7090
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-12
Last Update Date:2018-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX104983225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX104983OtherOCCUPATIONAL THERAPIST