Individual
MONICA RENEE ALLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
438 FCR 1451, TEAGUE, TX 75860
(254) 739-3257
Mailing address
438 FCR 1451, TEAGUE, TX 75860
(254) 739-3257
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
207850
TX
Other
Enumeration date
07/06/2007
Last updated
07/08/2007
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