Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | 113639 | TX |
NPI | 1689201857 |
---|---|
Provider Name | Dr. Christina Lighthill |
First Address | Dallas, TX 75234-7385 |
Second Address | Dallas, TX 75234-7385 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2020 |
Last Update Date | 26/03/2020 |