Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 109052 | TX |
NPI | 1255446472 |
---|---|
Provider Name | Mrs. Kristi Michelle Chapman |
First Address | Houston, TX 77083-8017 |
Second Address | Houston, TX 77096-3907 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2006 |
Last Update Date | 16/11/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
109052 | LICENSE # (01) | TX |