Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 114365 | TX |
NPI | 1003048414 |
---|---|
Provider Name | Renee Sionit |
First Address | Dallas, TX 75243-0587 |
Second Address | Dallas, TX 75243-0587 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/08/2009 |
Last Update Date | 18/11/2011 |