Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 121334 | TX |
N | 225XP0200X | Occupational Therapist - Pediatrics | 121334 | TX |
NPI | 1003402140 |
---|---|
Provider Name | Steffi Abraham |
First Address | Sugar Land, TX 77478-6366 |
Second Address | Houston, TX 77092-3131 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/12/2020 |
Last Update Date | 14/12/2020 |