Individual
LANDRY DAVID SETLIFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
1800 N BROADWAY ST, BALLINGER, TX 76821-2418
(325) 365-2538
Mailing address
503 PORT O CALL DR, RUNAWAY BAY, TX 76426-4503
(806) 685-8557
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215820
TX
Other
Enumeration date
08/05/2019
Last updated
08/05/2019
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