Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 111408 | TX |
NPI | 1356661482 |
---|---|
Provider Name | Mrs. Elene Jaree Norris |
First Address | Carrollton, TX 75010-3202 |
Second Address | Dallas, TX 75226-1011 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2010 |
Last Update Date | 11/06/2010 |