Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | 113663 | TX |
NPI | 1851348197 |
---|---|
Provider Name | Vinita Jobes |
First Address | Abilene, TX 79602-3514 |
Second Address | Abilene, TX 79606-5881 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2006 |
Last Update Date | 06/02/2020 |