Underwood, Mitzi J
Underwood, Mitzi J is an individual health care provider with primary practice located at 1005 Midwestern Pkwy , Wichita Falls TX 76302-2211. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Underwood, Mitzi J can be contacted via phone (940) 322-0771.Contact Information
Primary practice address
1005 Midwestern Pkwy
Wichita Falls TX 76302-2211
Phone: (940) 322-0771
Fax: (940) 766-4943
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 108612 | Texas |
Profile Details
NPI number | 1316126295 |
---|---|
LBN Legal business name | Underwood, Mitzi J |
Credentials | Registered Occupational Therapist (OTR) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 29th, 2007 |
Last updated | Oct 29th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1316126295 | NPPES |
Texas | Other | 108612 | HUMANA |
Texas | Other | 108612 | HUMANA |
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