Individual
SUSANA AGUILAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2121 MIDWAY RD STE 145, CARROLLTON, TX 75006-5263
(972) 851-1022
Mailing address
6009 EMBERCREST DR, WEATHERFORD, TX 76085-3944
(817) 914-6081
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
218182
TX
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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