Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251N0400X | Physical Therapist - Neurology |
NPI | 1659641876 |
---|---|
Provider Name | Mrs. Kathryn A Word |
First Address | Dallas, TX 75246-1520 |
Second Address | Dallas, TX 75246-1520 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/01/2012 |
Last Update Date | 02/02/2021 |