Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | 118725 | TX |
NPI | 1649870478 |
---|---|
Provider Name | Alexandria Howard |
First Address | Fort Worth, TX 76120-7000 |
Second Address | Fort Worth, TX 76120-7000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/10/2020 |
Last Update Date | 30/10/2020 |