Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225XH1200X | Occupational Therapist - Hand | 0119004499 | VA |
Y | 225XH1200X | Occupational Therapist - Hand | 113331 | TX |
NPI | 1083941074 |
---|---|
Provider Name | Kari Mccaffery |
First Address | Austin, TX 78705-1019 |
Second Address | Austin, TX 78705-1019 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/11/2009 |
Last Update Date | 11/11/2009 |