Individual
LETICIA AMBER HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1315 WALNUT ST, TEXARKANA, TX 75501-4446
(903) 794-2705
Mailing address
6208 TIMBERCREEK DR, TEXARKANA, AR 71854-8192
(903) 691-9059
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
213698
TX
Other
Enumeration date
03/31/2016
Last updated
03/31/2016
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