Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | 112360 | TX |
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | 112360 | TX |
NPI | 1659724771 |
---|---|
Provider Name | Kevin Toney |
First Address | Austin, TX 78748-6028 |
Second Address | Austin, TX 78745-6328 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2016 |
Last Update Date | 14/07/2016 |