Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 212400 | TX |
NPI | 1003286170 |
---|---|
Provider Name | Parichat Ray |
First Address | Houston, TX 77073-2918 |
Second Address | Spring, TX 77379-8260 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/10/2015 |
Last Update Date | 01/10/2015 |