Individual
ROLANDO FABIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
1026 E GOODE ST, QUITMAN, TX 75783-1641
(903) 763-2284
Mailing address
1026 E GOODE ST, QUITMAN, TX 75783-1641
(903) 763-2284
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
211630
TX
Other
Enumeration date
08/26/2018
Last updated
08/26/2018
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