Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 110447 | TX |
N | 225XG0600X | Occupational Therapist - Gerontology | 110447 | TX |
NPI | 1225517881 |
---|---|
Provider Name | Mrs. Emily Briggs |
First Address | Dallas, TX 75201-7495 |
Second Address | Dallas, TX 75201-7495 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/08/2018 |
Last Update Date | 13/08/2018 |