Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 204791 | TX |
NPI | 1013490408 |
---|---|
Provider Name | Talibah Akanke Ojore |
First Address | Webster, TX 77598-4354 |
Second Address | Webster, TX 77598-4354 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/09/2018 |
Last Update Date | 11/09/2018 |