Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TR0400X | Rehabilitation Psychologist |
NPI | 1417313768 |
---|---|
Provider Name | Chiriga Thomas |
First Address | Orlando, FL 32822-9410 |
Second Address | Orlando, FL 32822-9410 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/01/2016 |
Last Update Date | 01/01/2016 |