Individual
MRS. EILEEN D. STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
117 MEDICAL DR, SUITE 4, VICTORIA, TX 77904-3102
(361) 575-0681
Mailing address
117 MEDICAL DR, SUITE 4, VICTORIA, TX 77904-3102
(361) 575-0681
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
106356
TX
Other
Enumeration date
09/09/2011
Last updated
09/09/2011
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