Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 214855 | TX |
NPI | 1013428606 |
---|---|
Provider Name | Katherine B Paxton |
First Address | Austin, TX 78759-5977 |
Second Address | Austin, TX 78759-5977 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/10/2017 |
Last Update Date | 23/10/2017 |