Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | 108471 | TX |
NPI | 1093892994 |
---|---|
Provider Name | Mr. John Joseph Daws |
First Address | Corpus Christi, TX 78404-2611 |
Second Address | Corpus Christi, TX 78405-3929 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 26/06/2009 |