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Individual

GALA KAYE CZAJKOSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
300 WEST HIGHTWAY 6, WACO, TX 76712
(254) 761-8500
(847) 441-0734
Mailing address
300 WEST HIGHTWAY 6, WACO, TX 76712
(254) 761-8500
(847) 441-0734

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215032
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
215032
TX
Enumeration date
08/27/2018
Last updated
08/27/2018
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