Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 1028512 | UT |
N | 2251N0400X | Physical Therapist - Neurology | 1028512 | TX |
Y | 2251P0200X | Physical Therapist - Pediatrics | 1028512 | TX |
N | 2251S0007X | Physical Therapist - Sports | 1028512 | TX |
N | 2251X0800X | Physical Therapist - Orthopedic | 1028512 | TX |
N | 225X00000X | Occupational Therapist | 112446 | UT |
N | 225XG0600X | Occupational Therapist - Gerontology | 112446 | TX |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 112446 | TX |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 112446 | TX |
N | 225XP0200X | Occupational Therapist - Pediatrics | 112446 | TX |
NPI | 1801180583 |
---|---|
Provider Name | Ms. Teresa Lozano |
First Address | Harlingen, TX 78550-7857 |
Second Address | Harlingen, TX 78550-7914 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2011 |
Last Update Date | 31/05/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
154838001 | (05) | TX |