Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 5061 | AL |
NPI | 1104487396 |
---|---|
Provider Name | Caroline Thomas Estes |
First Address | Huntsville, AL 35801-2823 |
Second Address | Madison, AL 35758 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2019 |
Last Update Date | 27/06/2019 |