Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | 106360 | TX |
NPI | 1639399587 |
---|---|
Provider Name | Mrs. Dawn Ramona Heath |
First Address | Dallas, TX 75254-2709 |
Second Address | Dallas, TX 75243-4545 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2007 |
Last Update Date | 08/07/2007 |