Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 102936 | TX |
N | 225XE0001X | Environmental Modification | 102936 | TX |
N | 2251E1200X | Ergonomics | 102936 | TX |
N | 225XE1200X | Ergonomics | 102936 | TX |
N | 225XF0002X | Feeding, Eating & Swallowing | 102936 | TX |
N | 225XG0600X | Occupational Therapist - Gerontology | 102936 | TX |
N | 2251H1300X | Human Factors | 102936 | TX |
N | 225XH1300X | Human Factors | 102936 | TX |
N | 225XL0004X | Low Vision | 102936 | TX |
N | 225XM0800X | Mental Health | 102936 | TX |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 102936 | TX |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 102936 | TX |
N | 225XP0200X | Occupational Therapist - Pediatrics | 102936 | TX |
NPI | 1093035370 |
---|---|
Provider Name | Mrs. Jean Dawn Runcie |
First Address | Houston, TX 77269 |
Second Address | Tomball, TX 77377 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2010 |
Last Update Date | 25/10/2010 |