Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | 103015 | TX |
N | 225XP0200X | Occupational Therapist - Pediatrics | 103015 | TX |
NPI | 1255783924 |
---|---|
Provider Name | Tammie Lenert |
First Address | Pearland, TX 77584-3007 |
Second Address | Pearland, TX 77584-3007 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2016 |
Last Update Date | 06/07/2016 |