Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 106997 | TX |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 106997 | TX |
NPI | 1124308358 |
---|---|
Provider Name | Heather Chapman |
First Address | Fort Worth, TX 76107-7277 |
Second Address | Fort Worth, TX 76107-7277 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/08/2011 |
Last Update Date | 21/05/2020 |