Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 113746 | TX |
NPI | 1003165705 |
---|---|
Provider Name | Lindsey Jean Cadenhead |
First Address | San Antonio, TX 78230-1672 |
Second Address | San Antonio, TX 78230-1672 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/09/2012 |
Last Update Date | 10/09/2012 |