Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | 101307 | TX |
N | 225XH1200X | Occupational Therapist - Hand | 101307 | TX |
N | 2251H1300X | Human Factors | 101307 | TX |
N | 225XH1300X | Human Factors | 101307 | TX |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 101307 | TX |
N | 225XP0200X | Occupational Therapist - Pediatrics | 101307 | TX |
NPI | 1912039801 |
---|---|
Provider Name | Linda Ross Robinson |
First Address | Desoto, TX 75115-7755 |
Second Address | Dallas, TX 75243-4566 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/03/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
159 | (05) | TX |