Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 206222 | TX |
NPI | 1003344664 |
---|---|
Provider Name | Shazia Ahmad |
First Address | Richmond, TX 77469-6382 |
Second Address | Houston, TX 77025-3307 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/05/2017 |
Last Update Date | 26/05/2017 |