Individual
AYA IRIKAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
12708 RIATA VISTA CIR STE A106, AUSTIN, TX 78727-7174
(407) 460-0354
Mailing address
12708 RIATA VISTA CIR STE A106, AUSTIN, TX 78727-7174
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
122188
TX
Other
Enumeration date
11/24/2021
Last updated
11/24/2021
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