Individual
SKYLA BURD BIESECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
6502 SLIDE RD STE 204, LUBBOCK, TX 79424-1311
(806) 698-0864
Mailing address
6502 SLIDE RD STE 204, LUBBOCK, TX 79424-1311
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
212749
TX
Other
Enumeration date
12/21/2017
Last updated
12/21/2017
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