Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 213320 | TX |
NPI | 1013377050 |
---|---|
Provider Name | Jan Allison Brinkley |
First Address | Houston, TX 77095-1628 |
Second Address | Lubbock, TX 79424-7845 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/03/2016 |
Last Update Date | 03/03/2016 |