Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 209666 | TX |
NPI | 1023313350 |
---|---|
Provider Name | Dori Senatori |
First Address | The Woodlands, TX 77382-2093 |
Second Address | The Woodlands, TX 77382-2093 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/01/2011 |
Last Update Date | 18/01/2011 |