Individual
PETRINA KAY RANGNOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
248 WISTERIA LN, EL CAMPO, TX 77437-2545
(979) 648-2628
Mailing address
291 COUNTY ROAD 4182, GANADO, TX 77962-8734
(361) 212-4770
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215036
TX
Other
Enumeration date
04/10/2018
Last updated
04/10/2018
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