Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 116078 | TX |
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 116078 | TX |
NPI | 1487071197 |
---|---|
Provider Name | Toni C Ferrell |
First Address | Plano, TX 75074-1009 |
Second Address | Plano, TX 75074-1009 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2014 |
Last Update Date | 14/05/2014 |