Individual
ELLEN WILKINS MCCLUSKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1201 W 38TH ST, SETON 8TH FLOOR NORTH, AUSTIN, TX 78705-1006
(512) 406-6300
Mailing address
8002 TALLYHO TRL, AUSTIN, TX 78729-6462
(512) 331-8280
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
204290
TX
Other
Enumeration date
10/16/2007
Last updated
10/16/2007
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