Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 120972 | TX |
NPI | 1073104105 |
---|---|
Provider Name | Rebecca Lauren Harshman |
First Address | Parker, TX 75002-5557 |
Second Address | Frisco, TX 75033-6752 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/02/2021 |
Last Update Date | 01/02/2021 |