Individual
PAULA JAN PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
505 W CENTERVILLE RD, GARLAND, TX 75041-5445
(972) 840-0970
Mailing address
526 TRAILBLAZER RD, FORNEY, TX 75126-4732
(214) 284-3071
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
212455
TX
Other
Enumeration date
08/30/2018
Last updated
08/30/2018
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