Organization
CAPITAL AREA SPEECH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAITLYN GASTON OTR (OCCUPATIONAL THERAPIST)
(210) 912-9172
Entity
Organization
Contact information
Practice address
12710 RESEARCH BLVD, SUITE 359, AUSTIN, TX 78759-4379
(512) 250-3870
Mailing address
12710 RESEARCH BLVD., SUITE 359, AUSTIN, TX 78759
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
117495
TX
Other
Enumeration date
04/08/2016
Last updated
04/08/2016
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