Individual
DIANNA ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 W STATE HIGHWAY 6, WACO, TX 76712-4041
(254) 761-5026
Mailing address
PO BOX 205, TEAGUE, TX 75860-0205
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
214323
TX
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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