Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 108525 | TX |
NPI | 1205159670 |
---|---|
Provider Name | Mrs. Andra Jones Sterzik |
First Address | Corinth, TX 76210-0037 |
Second Address | Denton, TX 76205-7535 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/03/2010 |
Last Update Date | 12/03/2010 |