Individual
MR. SCOTT BADEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
871 OLD ALICE RD, SUITE 600, BROWNSVILLE, TX 78520-8268
(956) 541-2102
(956) 541-2502
Mailing address
871 OLD ALICE RD, SUITE 600, BROWNSVILLE, TX 78520-8268
(956) 541-2102
(956) 541-2502
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
209215
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209215
LICENSE
TX
Enumeration date
01/25/2007
Last updated
07/08/2007
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