Individual
PATRICIA MARIE EAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
535 S AUSTIN RD, EAGLE LAKE, TX 77434-3001
(979) 243-3910
Mailing address
102 SHORT RIVER DR, COLUMBUS, TX 78934-1421
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
204160
TX
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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