Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | 102627 | TX |
NPI | 1417169806 |
---|---|
Provider Name | Ms. Jamie L. Drook |
First Address | San Antonio, TX 78245-1651 |
Second Address | Fort Sam Houston, TX 78234-4501 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2007 |
Last Update Date | 09/10/2007 |