Individual
MS. PRIYA THADANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2333 MANOR DR, BRYAN, TX 77802-1907
(979) 821-7327
Mailing address
4818 AIRVILLE RD, TEMPLE, TX 76501-3579
(254) 495-9496
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
214649
TX
Other
Enumeration date
07/24/2017
Last updated
07/24/2017
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