Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 209683 | TX |
NPI | 1003320557 |
---|---|
Provider Name | Sharaine M Estrada |
First Address | Houston, TX 77069-1711 |
Second Address | Houston, TX 77060-4098 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/11/2017 |
Last Update Date | 20/11/2017 |