Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | 1221448 | TX |
NPI | 1013339316 |
---|---|
Provider Name | Atisha Parbhoo |
First Address | Spring, TX 77379-5803 |
Second Address | Spring, TX 77379-5803 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/01/2014 |
Last Update Date | 06/01/2014 |