Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225400000X | Rehabilitation Practitioner | ||
Y | 225XP0200X | Occupational Therapist - Pediatrics | 118229 | TX |
NPI | 1033489729 |
---|---|
Provider Name | Tanja Glaub |
First Address | Houston, TX 77022-1959 |
Second Address | Houston, TX 77022-1959 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/01/2012 |
Last Update Date | 24/02/2017 |