Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 102329 | TX |
NPI | 1255543484 |
---|---|
Provider Name | Ms. Karen Rolph Roeming |
First Address | Colleyville, TX 76034-3004 |
Second Address | Grapevine, TX 76051-3593 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2007 |
Last Update Date | 08/07/2007 |