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Individual

MS. ROSE MARY FURST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
200 MEMORIAL DR, LULING, TX 78648-3213
(830) 875-8400
Mailing address
6305 FM 672, DALE, TX 78616-2537
(512) 601-3106

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
204541
TX

Other

Enumeration date
03/19/2008
Last updated
03/19/2008
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