Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 112529 | TX |
N | 225XL0004X | Low Vision | 112529 | TX |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 112529 | TX |
NPI | 1205479821 |
---|---|
Provider Name | Karla W Sternberg Cover |
First Address | Houston, TX 77092-7519 |
Second Address | Houston, TX 77060-3171 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/10/2019 |
Last Update Date | 16/01/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
112529 | TEXAS OT LICENSE - TBOTE (01) | TX |