Individual
MRS. YVONNE L. FOREMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
111339
TX
225XP0200X
Pediatric Occupational Therapist
Primary
111339
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
136482100
VALLEY HEALTHPLAN
TX
05
—
1779399-01
—
TX
01
—
8T6043
BLUE CROSS BLUE SHIELD
TX
Enumeration date
10/25/2006
Last updated
05/02/2018
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