Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 111255 | TX |
NPI | 1033291679 |
---|---|
Provider Name | Ms. Le Ann Pigulski |
First Address | Austin, TX 78749-1947 |
Second Address | Austin, TX 78748-5710 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/10/2006 |
Last Update Date | 01/02/2010 |