Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 209506 | TX |
NPI | 1013119791 |
---|---|
Provider Name | Tammy W Baldwin |
First Address | Easton, PA 18040-7958 |
Second Address | Spring, TX 77380-1411 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2007 |
Last Update Date | 08/07/2007 |