Individual
LAQUITA L ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
18869 FM 317, CHANDLER, TX 75758-7573
(903) 216-7411
Mailing address
18869 FM 317, CHANDLER, TX 75758-7573
(903) 216-7411
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
217693
TX
Other
Enumeration date
01/30/2023
Last updated
01/30/2023
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