Individual
LAURA HAZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
6010 BILTMORE, ROSENBERG, TX 77471-4497
(701) 226-7340
Mailing address
6010 BILTMORE, ROSENBERG, TX 77471-4497
(701) 226-7340
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
217099
TX
Other
Enumeration date
10/08/2021
Last updated
10/08/2021
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