Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 109974 | TX |
NPI | 1134409469 |
---|---|
Provider Name | Ms. Jamie Lynn Kirman |
First Address | Harlingen, TX 78550 |
Second Address | Harlingen, TX 78550 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/08/2011 |
Last Update Date | 18/08/2011 |