Individual
MS. AMELIA ALEXIS FELAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2320 LAKE SHORE DR, WACO, TX 76708-1276
(254) 752-1075
Mailing address
2209 N 42ND ST, WACO, TX 76710-2014
(254) 640-6863
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
216997
TX
Other
Enumeration date
12/01/2021
Last updated
12/01/2021
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