Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 211914 | TX |
NPI | 1023555778 |
---|---|
Provider Name | Catherine Milian |
First Address | Dallas, TX 75234-7796 |
Second Address | Dallas, TX 75234-7796 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2017 |
Last Update Date | 19/01/2017 |