Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XG0600X | Occupational Therapist - Gerontology | 208388 | TX |
NPI | 1073095709 |
---|---|
Provider Name | Frances Barbara Dunn |
First Address | Arlington, TX 76006-5887 |
Second Address | Cleburne, TX 76033-7460 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/08/2018 |
Last Update Date | 29/08/2018 |