Individual
PAMELA COMBEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
930 S BAXTER AVE, TYLER, TX 75701-2209
(903) 597-2068
Mailing address
3426 IBERVILLE DR, TYLER, TX 75701-7613
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
212554
TX
Other
Enumeration date
03/25/2017
Last updated
03/25/2017
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