Individual
GINNY R. GARRISON-TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1401 WONDER WORLD DR, SAN MARCOS, TX 78666-7555
(512) 396-8271
Mailing address
2222 SULLIVAN TRL, EASTON, PA 18040-7958
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
109552
TX
Other
Enumeration date
08/27/2007
Last updated
08/27/2007
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