Individual
LENA LADELL HAILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
500 W 3RD AVE STE 6, CORSICANA, TX 75110-4564
(903) 851-8456
Mailing address
11122 E STATE HWY 31, KERENS, TX 75144
(903) 851-8456
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
209937
TX
Other
Enumeration date
08/14/2018
Last updated
08/14/2018
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