Individual
MEGHAN LEIGH BOSTIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
420 MOODY ST, FAIRFIELD, TX 75840-3036
(903) 389-1236
Mailing address
310 SUNSET DR, FAIRFIELD, TX 75840-2518
(903) 390-1864
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215850
TX
Other
Enumeration date
09/09/2019
Last updated
09/09/2019
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