Individual
CAROLYN ANN VIEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2450 E 5TH ST, TYLER, TX 75701-3525
(903) 592-6745
Mailing address
623 FAIR LN, TYLER, TX 75701-7704
(409) 771-6834
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
212490
TX
Other
Enumeration date
08/31/2018
Last updated
08/31/2018
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