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Individual

HEATHER NICOLE MCKEOWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
17751 PARK VALLEY DR, ROUND ROCK, TX 78681-3592
(512) 218-6012
Mailing address
13314 BLACK CANYON DR, AUSTIN, TX 78729-7479

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
214874
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
214874
TEXAS BOARD OF OCCUPATIONAL THERAPY EXAMINERS
TX
Enumeration date
08/21/2018
Last updated
08/21/2018
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