Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 110794 | TX |
NPI | 1003047416 |
---|---|
Provider Name | Mrs. Ana Carolina Laughlin |
First Address | Brownsville, TX 78521-2956 |
Second Address | Brownsville, TX 78521-2956 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2009 |
Last Update Date | 03/08/2009 |