Individual
ALYSE ROSEANN ACOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1351 E BARDIN RD STE 160, ARLINGTON, TX 76018-2137
(817) 795-1291
Mailing address
9220 KIRBY DR STE 1000, HOUSTON, TX 77054-2534
(713) 383-9700
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
217339
TX
Other
Enumeration date
06/29/2022
Last updated
06/29/2022
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