Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | ||
N | 224Z00000X | Occupational Therapy Assistant | 207711 | TX |
NPI | 1003397498 |
---|---|
Provider Name | Rebecca Sehnert |
First Address | Glen Rose, TX 76043-4937 |
Second Address | Glen Rose, TX 76043-4937 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/08/2018 |
Last Update Date | 24/08/2018 |