Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | ||
N | 225XG0600X | Occupational Therapist - Gerontology |
NPI | 1891276440 |
---|---|
Provider Name | April Tamez |
First Address | Cushing, TX 75760-3908 |
Second Address | Nacogdoches, TX 75964-1232 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/08/2018 |
Last Update Date | 22/08/2018 |