Individual
STACYANN BUCHANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
7031 MACZALI DR, MISSOURI CITY, TX 77489-3457
(346) 561-4689
Mailing address
7031 MACZALI DR, MISSOURI CITY, TX 77489-3457
(346) 561-4689
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
216467
TX
Other
Enumeration date
01/25/2021
Last updated
01/25/2021
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