Provider Demographics
NPI:1538337753
Name:HASHIMOTO, ANNETTE KATHY
Entity type:Individual
Prefix:MRS
First Name:ANNETTE
Middle Name:KATHY
Last Name:HASHIMOTO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:904 CUATRO CERROS TRL SE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87123-4146
Mailing Address - Country:US
Mailing Address - Phone:505-203-9822
Mailing Address - Fax:505-323-5065
Practice Address - Street 1:904 CUATRO CERROS TRL SE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87123-4146
Practice Address - Country:US
Practice Address - Phone:505-203-9822
Practice Address - Fax:505-323-5065
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-11
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM1595208100000X, 225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation