Individual
STEPHANIE SIMONE ATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
5151 STATE HIGHWAY 110, RUSK, TX 75785-3887
(903) 283-4329
Mailing address
PO BOX 575, RUSK, TX 75785-0575
(903) 283-4329
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215802
TX
Other
Enumeration date
04/30/2021
Last updated
04/30/2021
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