Individual
MARY K RARICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
910 MIDWESTERN PKWY, WICHITA FALLS, TX 76302-2210
(940) 767-5500
Mailing address
910 MIDWESTERN PKWY, WICHITA FALLS, TX 76302-2210
(940) 767-5500
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
207896
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
109272
MANAGED CARE
TX
Enumeration date
08/31/2018
Last updated
08/31/2018
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