Individual
MS. HERECE ANJEANETTE GOLDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR
Contact information
Practice address
1901 S 1ST ST, TEMPLE, TX 76504-7451
(254) 743-0962
Mailing address
5801 MONTROSE DR, KILLEEN, TX 76542-7579
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
103005
TX
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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