Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 1076776 | TX |
Y | 2251G0304X | Physical Therapist - Geriatrics | 1076776 | TX |
NPI | 1215112693 |
---|---|
Provider Name | Colleen Springman |
First Address | Houston, TX 77005-4313 |
Second Address | Houston, TX 77074-4302 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/01/2008 |
Last Update Date | 04/01/2008 |