Individual
CAREY ROBERT STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
1315 WALNUT ST, TEXARKANA, TX 75501-4446
(903) 794-2705
Mailing address
1315 WALNUT ST, TEXARKANA, TX 75501-4446
(903) 794-2705
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
304921
TX
Other
Enumeration date
03/04/2010
Last updated
03/04/2010
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