Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 215053 | TX |
NPI | 1013405240 |
---|---|
Provider Name | Julie Pierson |
First Address | Houston, TX 77063 |
Second Address | Houston, TX 77063-5278 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2018 |
Last Update Date | 19/11/2018 |