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Organization
NIC-DREW, INC.
Active
Organization
NIC-DREW, INC.
Active
Other names
LAKE TRAVIS HEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
KATHARINE GREVERA OT (OWNER, DIRECTOR)
(512) 520-6598
Entity
Organization
Contact information
Practice address
105 EAGLE CV, LAKEWAY, TX 78734-5010
(512) 520-6598
(855) 779-1943
Mailing address
105 EAGLE CV, LAKEWAY, TX 78734-5010
(512) 520-6598
(855) 779-1943
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106088
TEXAS BOARD OF OCCUPATIONAL THERAPY EXAMINERS
TX
Enumeration date
02/21/2018
Last updated
02/21/2018
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