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Organization

CHILD THERAPY HEALING OASIS, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ADYANA CONSTANCE MARIE BRASHEAR OT (OWNER & OCCUPATIONAL THERAPIST)
(512) 468-9707
Entity
Organization

Contact information

Practice address
8810 THUNDERBIRD RD, AUSTIN, TX 78736-8006
(512) 761-1707
(512) 236-5183
Mailing address
8810 THUNDERBIRD RD, AUSTIN, TX 78736-8006
(512) 761-1707
(512) 236-5183

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
225X00000X
Occupational Therapist

Other

Enumeration date
01/04/2009
Last updated
07/13/2012
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