Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 110318 | TX |
NPI | 1013030311 |
---|---|
Provider Name | Sheila Sims Freightman |
First Address | Humble, TX 77346-4014 |
Second Address | Humble, TX 77346-4014 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/04/2007 |
Last Update Date | 05/07/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2085292 | (05) | TX |