Individual
PAMELA JEAN LIZOTTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1215 E COURT ST, SEGUIN, TX 78155-5129
(830) 401-7418
(830) 401-7646
Mailing address
1951 OLD FM 306, APT # 1510, NEW BRAUNFELS, TX 78130
(719) 433-1255
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
209699
TX
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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