Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251G0304X | Physical Therapist - Geriatrics | 1076065 | TX |
Y | 2251N0400X | Physical Therapist - Neurology | 1076065 | TX |
N | 2251P0200X | Physical Therapist - Pediatrics | 1076065 | TX |
N | 2251X0800X | Physical Therapist - Orthopedic | 1076065 | TX |
NPI | 1093977845 |
---|---|
Provider Name | Yulinda Gloria Kho |
First Address | Dallas, TX 75234-7858 |
Second Address | Dallas, TX 75234-7859 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2008 |
Last Update Date | 01/07/2008 |