Individual
MRS. MARTHA JANE MANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1720 N LOGAN ST, TEXAS CITY, TX 77590-4931
(361) 571-1223
Mailing address
1455 LOUISIANA AVE APT 8103, LEAGUE CITY, TX 77573-5963
(361) 571-1223
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
200981
TX
Other
Enumeration date
08/30/2018
Last updated
08/30/2018
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