Individual
CHRISTY MICHELLE SPELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
810 BELLAIRE ST, JACKSONVILLE, TX 75766-9045
(903) 589-5300
Mailing address
810 BELLAIRE ST, JACKSONVILLE, TX 75766-9045
(903) 589-5300
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
211559
TX
Other
Enumeration date
09/10/2018
Last updated
09/10/2018
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