Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225CA2400X | Assistive Technology Practitioner | ATP 14468 | TX |
NPI | 1215224936 |
---|---|
Provider Name | Rajesh B Amin |
First Address | Irving, TX 75038-4404 |
Second Address | Irving, TX 75038-4404 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2011 |
Last Update Date | 23/08/2013 |