Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 293566 | CA |
NPI | 1003321324 |
---|---|
Provider Name | Aline Murillo |
First Address | Houston, TX 77090-1101 |
Second Address | Houston, TX 77090-1101 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/12/2017 |
Last Update Date | 08/12/2017 |