Individual
TINA BAUWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
541 KIOWA DR E, GAINESVILLE, TX 76240-9567
(940) 595-6614
Mailing address
541 KIOWA DR E, GAINESVILLE, TX 76240-9567
(940) 595-6614
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
206233
TX
Other
Enumeration date
04/28/2017
Last updated
04/28/2017
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