Individual
MRS. DEIDRA MARIE SOWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
505 N SAM HOUSTON PKWY E STE 615, HOUSTON, TX 77060-4098
(832) 484-3756
Mailing address
26345 3RD TER, SPLENDORA, TX 77372-5017
(832) 527-4666
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
213537
TX
Other
Enumeration date
11/09/2017
Last updated
11/09/2017
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