Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 103884 | TX |
NPI | 1073619243 |
---|---|
Provider Name | Arlene Frobish |
First Address | Fort Worth, TX 76137-5263 |
Second Address | Fort Worth, TX 76137-5263 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/09/2006 |
Last Update Date | 08/07/2007 |