Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 1274671 | TX |
N | 2251X0800X | Physical Therapist - Orthopedic | 2305212654 | VA |
NPI | 1003475781 |
---|---|
Provider Name | Emily Aven |
First Address | Houston, TX 77042-2453 |
Second Address | Houston, TX 77042-2453 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2019 |
Last Update Date | 16/11/2020 |