Individual
ALISHA DENISE HEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
658 BOGGY RD, WASKOM, TX 75692-7441
(903) 926-8132
Mailing address
658 BOGGY RD, WASKOM, TX 75692-7441
(903) 926-8132
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
210343
TX
Other
Enumeration date
11/16/2018
Last updated
11/16/2018
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