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:
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Health care specialties

SpecialtyCodeLicense #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 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316126295 NPPES
Texas Other 108612 HUMANA
Texas Other 108612 HUMANA

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