Individual
MRS. CYNTHIA LAVERN NOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
19221 I-45 S. SUITE 120, SHENANDOAH, TX 77385
(936) 585-5019
(936) 585-4416
Mailing address
19221 I-45 S. SUITE 120, SHENANDOAH, TX 77385
(936) 585-5019
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
214290
TX
Other
Enumeration date
08/20/2018
Last updated
08/20/2018
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