Individual
VICKIE MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1420 MCCREARY RD, WYLIE, TX 75098-8776
(972) 442-6776
Mailing address
1420 MCCREARY RD, WYLIE, TX 75098-8776
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
209922
TX
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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