Individual
RIKA METHOLA BRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3501 S. LOOP 289, LUBBOCK, TX 79414
(806) 796-1774
(806) 796-1714
Mailing address
5507 SW 9TH AVENUE, AMARILLO, TX 79106
(806) 468-7611
(806) 468-7603
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
112272
TX
Other
Enumeration date
07/23/2008
Last updated
07/25/2018
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