Provider Demographics
NPI:1881833838
Name:HINSON, SHIRLEY RENEE (MOT, OTR)
Entity Type:Individual
Prefix:MS
First Name:SHIRLEY
Middle Name:RENEE
Last Name:HINSON
Suffix:
Gender:F
Credentials:MOT, OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1425 HWY 290 WEST
Mailing Address - Street 2:
Mailing Address - City:DRIPPING SPRINGS
Mailing Address - State:TX
Mailing Address - Zip Code:78620-3402
Mailing Address - Country:US
Mailing Address - Phone:512-858-2507
Mailing Address - Fax:512-858-0905
Practice Address - Street 1:1425 HWY 290 WEST
Practice Address - Street 2:
Practice Address - City:DRIPPING SPRINGS
Practice Address - State:TX
Practice Address - Zip Code:78620-3402
Practice Address - Country:US
Practice Address - Phone:512-858-2507
Practice Address - Fax:512-858-0905
Is Sole Proprietor?:No
Enumeration Date:2009-02-16
Last Update Date:2012-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX112875225X00000X, 225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics