Individual
MS. MACEY MARIE CHISHOLM-HANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
310 E LAWRENCE ST, DAYTON, TX 77535-1805
(936) 258-7227
(936) 258-7223
Mailing address
2102 PAPOOSE TRL, CROSBY, TX 77532-3218
(832) 509-9488
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
213522
TX
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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