Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225CA2400X | Assistive Technology Practitioner | ||
N | 225CX0006X | Orientation and Mobility Training Provider | 5803 |
NPI | 1649611757 |
---|---|
Provider Name | Adrienne Thompson |
First Address | Kingwood, TX 77339-3714 |
Second Address | Kingwood, TX 77339-3714 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2013 |
Last Update Date | 17/07/2013 |