Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | 2879 | AZ |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 112232 | TX |
NPI | 1336345933 |
---|---|
Provider Name | Diem Thuy Hoang |
First Address | Phoenix, AZ 85012-2338 |
Second Address | Houston, TX 77030-3405 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2007 |
Last Update Date | 08/07/2007 |