Individual
REBECCA LEIGH VESTFALS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.R.
Contact information
Practice address
5609 DONNYBROOK AVE, TYLER, TX 75703-6111
(903) 561-2808
Mailing address
15674 LAKE RD, HENDERSON, TX 75652-3546
(903) 238-7482
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
114244
TX
Other
Enumeration date
06/13/2011
Last updated
06/13/2011
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