Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 114755 | TX |
NPI | 1003164567 |
---|---|
Provider Name | Traci Lynn Uhlig-Schneider |
First Address | Wichita Falls, TX 76302-2211 |
Second Address | Wichita Falls, TX 76302-2211 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2012 |
Last Update Date | 15/08/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
111408402 | (05) | TX |