Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251H1300X | Human Factors | 115114 | TX |
N | 225XH1300X | Human Factors | 115114 | TX |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 115114 | TX |
N | 225XP0200X | Occupational Therapist - Pediatrics | 115114 | TX |
NPI | 1336301357 |
---|---|
Provider Name | Elisa Beth Michaud-Hanson |
First Address | Galveston, TX 77554-9479 |
Second Address | Houston, TX 77027-3515 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2008 |
Last Update Date | 01/05/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
S63811 | (02) | TX |