Individual
PATRICIA GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
107 WOODBINE PL, #775, LONGVIEW, TX 75601-2912
(903) 237-2315
Mailing address
107 WOODBINE PL, #775, LONGVIEW, TX 75601-2912
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
106866
TX
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106866
—
TX
Enumeration date
04/15/2015
Last updated
05/20/2016
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