Provider Demographics
NPI:1184273229
Name:HYMES, EMILY ANNE (OTR)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:ANNE
Last Name:HYMES
Suffix:
Gender:
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3225 BANKS RD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27603-9686
Mailing Address - Country:US
Mailing Address - Phone:716-903-5900
Mailing Address - Fax:
Practice Address - Street 1:4924 HOLLAND CHURCH RD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27603-9729
Practice Address - Country:US
Practice Address - Phone:919-896-2249
Practice Address - Fax:919-591-0331
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-11
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC14782225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist