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Individual

BERTHA MAY PIMM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
210 W WINDCREST ST, FREDERICKSBURG, TX 78624-4408
(830) 637-7885
Mailing address
751 ROLLING OAKS DR, HARPER, TX 78631-8615
(830) 864-5447

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
210337
TX

Other

Enumeration date
08/22/2018
Last updated
08/22/2018
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