Individual
MS. TYESHA RAENETT MCMURRIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3745 SUMMER CREST DR, SAN ANGELO, TX 76901-9782
(325) 947-8776
Mailing address
3745 SUMMER CREST DR, SAN ANGELO, TX 76901-9782
(325) 947-8776
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
210727
TX
224Z00000X
Occupational Therapy Assistant
OT-A446
AR
Other
Enumeration date
05/22/2015
Last updated
05/22/2015
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