Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225CA2400X | Assistive Technology Practitioner | ATP48298 | TX |
NPI | 1841571130 |
---|---|
Provider Name | Patricia Ellen Deemer |
First Address | Fort Worth, TX 76137-2414 |
Second Address | Fort Worth, TX 76106-3200 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2011 |
Last Update Date | 04/11/2020 |