Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225CA2400X | Assistive Technology Practitioner |
NPI | 1548552698 |
---|---|
Provider Name | Pamela Michele Torres-West |
First Address | Grand Prairie, TX 75050-1288 |
Second Address | Grand Prairie, TX 75050-1288 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2011 |
Last Update Date | 09/05/2011 |