Individual
MS. CAROLYN RUTH PRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
405 MOORE AVE, PALACIOS, TX 77465-4823
(979) 557-9654
Mailing address
405 MOORE AVE, PALACIOS, TX 77465-4823
(979) 557-9654
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
203835
TX
Other
Enumeration date
10/04/2018
Last updated
10/04/2018
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