Provider Demographics
NPI:1902455876
Name:HUTCHINS, ANNIE KATHERINE (COTA/L)
Entity Type:Individual
Prefix:
First Name:ANNIE
Middle Name:KATHERINE
Last Name:HUTCHINS
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:ANNIE
Other - Middle Name:KATHERINE
Other - Last Name:DAILEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:138 N WASHINGTON ST APT 14
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-3955
Mailing Address - Country:US
Mailing Address - Phone:434-660-4928
Mailing Address - Fax:
Practice Address - Street 1:123 LAKEVIEW DR
Practice Address - Street 2:
Practice Address - City:WOODSTOCK
Practice Address - State:VA
Practice Address - Zip Code:22664-1563
Practice Address - Country:US
Practice Address - Phone:434-660-4928
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-04
Last Update Date:2019-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0131002227224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant