Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 106704 | TX |
NPI | 1043547573 |
---|---|
Provider Name | Sally D'lana Harp |
First Address | Pflugerville, TX 78660-2852 |
Second Address | Pflugerville, TX 78660 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/11/2009 |
Last Update Date | 04/11/2009 |