Individual
ANQUINETTA MONIQUE MASON-BAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
87 I-10 NORTH, SUITE 225, BEAUMONT, TX 77707
(409) 835-0151
(409) 835-0228
Mailing address
305 NE LOOP 820 BUSSINESS TOWER 1, SUITE 200, HURST, TX 76053
(817) 292-8787
(817) 789-6849
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
200438
LA
224Z00000X
Occupational Therapy Assistant
Primary
212648
TX
Other
Enumeration date
08/04/2014
Last updated
08/04/2014
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