Individual
DONELL ELAINE CREEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
401 OWEN LN, WACO, TX 76710-5558
(254) 772-8900
(254) 772-2970
Mailing address
205 NW 4TH ST, HUBBARD, TX 76648-2343
(469) 939-3522
Taxonomy
Speciality
Code
Description
License number
State
224ZE0001X
Environmental Modification Occupational Therapy Assistant
Primary
206070
TX
Other
Enumeration date
09/12/2018
Last updated
09/12/2018
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