Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 119910 | TX |
NPI | 1235767179 |
---|---|
Provider Name | Sherrie Marie Barton |
First Address | Austin, TX 78759-7808 |
Second Address | Austin, TX 78759-7808 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2020 |
Last Update Date | 27/03/2020 |