Provider Demographics
NPI:1972361913
Name:HOOD, MARY CLAIRE CLAIRE (OTR/L)
Entity Type:Individual
Prefix:
First Name:MARY CLAIRE
Middle Name:CLAIRE
Last Name:HOOD
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 37
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:MS
Mailing Address - Zip Code:39190-0037
Mailing Address - Country:US
Mailing Address - Phone:205-270-9588
Mailing Address - Fax:
Practice Address - Street 1:525 AUTO CENTER DR
Practice Address - Street 2:
Practice Address - City:WATSONVILLE
Practice Address - State:CA
Practice Address - Zip Code:95076-3745
Practice Address - Country:US
Practice Address - Phone:205-270-9588
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-12
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA26147225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist