Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | 114202 | TX |
N | 225XH1200X | Occupational Therapist - Hand | 114202 | TX |
N | 225XL0004X | Low Vision | 114202 | TX |
N | 225XM0800X | Mental Health | 114202 | TX |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 114202 | TX |
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 114202 | TX |
N | 225XR0403X | Driving and Community Mobility | 114202 | TX |
NPI | 1790003531 |
---|---|
Provider Name | Zemelda D. Carr |
First Address | Arlington, TX 76018-0952 |
Second Address | Arlington, TX 76018-0952 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2010 |
Last Update Date | 30/07/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
005546033 | MPIN (01) | TX |
1114328416 | NPI (01) | TX |
114202 | OCCUPATINAL THERAPIST (01) | TX |
1790003531 | NPI (01) | TX |
482228 | PTAN (01) | TX |