Individual
CAMERON TAYLOR SILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
4200 LIVE OAK ST, DALLAS, TX 75204-6733
(214) 821-0050
Mailing address
409 SNEAD DR, WYLIE, TX 75098-5565
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215194
TX
Other
Enumeration date
08/23/2018
Last updated
08/23/2018
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