Individual
CURTIS SEAN CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTA
Contact information
Practice address
835 TOWER DR STE 10, ODESSA, TX 79761-4251
(432) 332-8310
Mailing address
835 TOWER DR STE 10, ODESSA, TX 79761-4251
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
208233
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
208233
LICENSE NUMBER
TX
Enumeration date
09/05/2018
Last updated
09/05/2018
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