Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 105670 | TX |
NPI | 1003954850 |
---|---|
Provider Name | Teresa Harrison |
First Address | Sherman, TX 75091-1087 |
Second Address | Sherman, TX 75092-2605 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/02/2007 |
Last Update Date | 08/07/2007 |