Individual
ASHLEY ABRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2320 LAKE SHORE DR, WACO, TX 76708-1276
(254) 752-1075
Mailing address
PO BOX 408, MEXIA, TX 76667-0408
(903) 390-0529
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
425906
TX
Other
Enumeration date
10/31/2019
Last updated
10/31/2019
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