Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | 103618 | TX |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 103618 | TX |
NPI | 1043586084 |
---|---|
Provider Name | Myra Linda Vasquez-Romero |
First Address | Alvin, TX 77511-7047 |
Second Address | Alvin, TX 77511-7047 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2012 |
Last Update Date | 25/02/2021 |