Individual
MIA EISELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
25018 OAKHURST DR, SPRING, TX 77386-2722
(888) 364-9695
Mailing address
20525 CYPRESSWOOD DR APT 8204, CYPRESS, TX 77433-4709
(815) 355-8599
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
218009
TX
Other
Enumeration date
09/05/2023
Last updated
09/05/2023
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