Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225CA2400X | Assistive Technology Practitioner |
NPI | 1982895991 |
---|---|
Provider Name | Tammy Compere |
First Address | Canyon Lake, TX 78133-5942 |
Second Address | San Antonio, TX 78216-2838 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2007 |
Last Update Date | 11/04/2011 |