Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | 1087930 | TX |
NPI | 1033483995 |
---|---|
Provider Name | William Bartlett |
First Address | Houston, TX 77063-5278 |
Second Address | Houston, TX 77063-5278 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/02/2012 |
Last Update Date | 23/02/2012 |