Individual
TIMOTHY EBBA DIMALANTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
19255 PARK ROW, HOUSTON, TX 77084-7309
(832) 404-2649
Mailing address
6715 GREENWOOD VALLEY PL, KATY, TX 77493-7972
(832) 816-8205
(832) 816-8205
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
218717
TX
Other
Enumeration date
03/05/2025
Last updated
03/05/2025
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