Organization
DISTINCT ABILITIES ACADEMIC PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VALERIE CAROL CONNATSER (OWNER)
(281) 585-5140
Entity
Organization
Contact information
Practice address
851 N DILLING ST, ALVIN, TX 77511-5675
(281) 585-5140
Mailing address
851 N DILLING ST, ALVIN, TX 77511-5675
(281) 585-5140
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
10/10/2018
Last updated
10/10/2018
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