Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | 1055002 | TX |
NPI | 1053628776 |
---|---|
Provider Name | Mrs. Kelly Twohey-Byrne |
First Address | Sugar Land, TX 77479-5821 |
Second Address | Houston, TX 77027-7330 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/09/2010 |
Last Update Date | 01/09/2010 |