Individual
ELLEN MARIE STIMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
5095 PRESTON AVE, PASADENA, TX 77505-2053
(281) 582-8090
Mailing address
12371 S KIRKWOOD RD, STAFFORD, TX 77477-2836
(713) 995-9292
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
119139
TX
Other
Enumeration date
05/04/2018
Last updated
05/04/2018
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