Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | 2098925 | TX |
NPI | 1073926135 |
---|---|
Provider Name | Rehanna Sharma |
First Address | Houston, TX 77098-4521 |
Second Address | Hurst, TX 76053-7211 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2014 |
Last Update Date | 06/06/2014 |