Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 102344 | TX |
NPI | 1194782946 |
---|---|
Provider Name | Mrs. Joyce Geralyn Stephens |
First Address | Waco, TX 76710-7545 |
Second Address | Waco, TX 76710-7545 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2006 |
Last Update Date | 27/01/2022 |