Individual
MS. TERESA KAY CARMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
CARE INN OF LA GRANGE, 457 N. MAIN STREET, LA GRANGE, TX 78945
(979) 968-5865
Mailing address
BOX 1061, SMITHVILLE, TX 78957
(512) 237-0087
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
100733
TX
225XN1300X
Neurorehabilitation Occupational Therapist
100733
TX
225XP0019X
Physical Rehabilitation Occupational Therapist
100733
TX
Other
Enumeration date
10/24/2018
Last updated
10/24/2018
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