Individual
AMY SUE HAVERKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
501 N MAIN ST, COLLINSVILLE, TX 76233-5106
(940) 284-1424
Mailing address
2774 COUNTY ROAD 306, GAINESVILLE, TX 76240-6760
(940) 284-1424
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
205004
TX
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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