Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225CA2400X | Assistive Technology Practitioner | 93741 | TX |
NPI | 1346826559 |
---|---|
Provider Name | Dalia Ivonne Morales |
First Address | El Paso, TX 79937-1140 |
Second Address | El Paso, TX 79925-1501 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/03/2021 |
Last Update Date | 19/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
93741 | RESNA (01) | TX |