Provider Demographics
NPI:1548499130
Name:HUTCHINSON, ERIC JOHN (OTR/L)
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:JOHN
Last Name:HUTCHINSON
Suffix:
Gender:M
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 1:2780 MERIDIAN DR APT 1
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-5597
Mailing Address - Country:US
Mailing Address - Phone:207-582-5009
Mailing Address - Fax:
Practice Address - Street 1:2780 MERIDIAN DR APT 1
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-5597
Practice Address - Country:US
Practice Address - Phone:207-582-5009
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-05
Last Update Date:2009-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6992225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist