Individual
HALI CHRISTINE FREDERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
920 E AVENUE L, SILSBEE, TX 77656-5014
(409) 385-5571
Mailing address
1838 COUNTY ROAD 443, KIRBYVILLE, TX 75956-4696
(409) 622-1514
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
216162
TX
Other
Enumeration date
02/21/2020
Last updated
02/21/2020
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