Individual
SANDRA PATRICIA RANGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4616 NE STALLINGS DR, NACOGDOCHES, TX 75965-1608
(936) 569-5600
Mailing address
844 COUNTY ROAD 114, NACOGDOCHES, TX 75965-8738
(936) 371-3146
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
212425
TX
Other
Enumeration date
08/22/2018
Last updated
08/22/2018
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