Individual
JOSIAS EUGENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
436 SAN LUCAS DR, CROWLEY, TX 76036-4361
(321) 806-5521
Mailing address
436 SAN LUCAS DR, CROWLEY, TX 76036-4361
(321) 806-5521
Taxonomy
Speciality
Code
Description
License number
State
225XE1200X
Ergonomics Occupational Therapist
Primary
213201
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3218065521
321806
—
Enumeration date
08/31/2018
Last updated
08/31/2018
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