Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | 1254153 | TX |
NPI | 1700264520 |
---|---|
Provider Name | Wendy Willmot Myers |
First Address | Houston, TX 77027-7330 |
Second Address | Houston, TX 77027-7330 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/05/2015 |
Last Update Date | 13/05/2015 |