Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 102676 | TX |
NPI | 1053403824 |
---|---|
Provider Name | Mrs. Karen Ann Glosson |
First Address | Cypress, TX 77429-6306 |
Second Address | Houston, TX 77065-3177 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2006 |
Last Update Date | 08/07/2007 |