Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | 1262713 | TX |
NPI | 1124484662 |
---|---|
Provider Name | Mrs. Elizabeth A Dumbrill |
First Address | Houston, TX 77079-4501 |
Second Address | Houston, TX 77074-7449 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/01/2016 |
Last Update Date | 14/01/2016 |