Individual
MRS. CHAILLE SULAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
18619 CEDAR CREEK CT, NEEDVILLE, TX 77461-9105
(832) 768-2321
Mailing address
18619 CEDAR CREEK CT, NEEDVILLE, TX 77461-9105
(832) 768-2321
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
105119
TX
Other
Enumeration date
01/19/2015
Last updated
01/19/2015
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