Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | 110034 | TX |
NPI | 1669665691 |
---|---|
Provider Name | Mrs. Mirlinda Mcclain |
First Address | The Woodlands, TX 77384-4100 |
Second Address | The Woodlands, TX 77384-4100 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/08/2007 |
Last Update Date | 22/08/2007 |