Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | 119609 | TX |
N | 225X00000X | Occupational Therapist | 15-0624 | NV |
Y | 225XH1200X | Occupational Therapist - Hand | 15-0624 | NV |
NPI | 1043680663 |
---|---|
Provider Name | Emily Matthews |
First Address | Houston, TX 77025-1533 |
Second Address | Henderson, NV 89014-6676 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/09/2015 |
Last Update Date | 01/09/2021 |