Individual
MECHLLE BYROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
169 MEDICAL DR, PEARSALL, TX 78061
(830) 334-3371
Mailing address
169 MEDICAL DR, PEARSALL, TX 78061-6604
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
210194
TX
Other
Enumeration date
08/14/2018
Last updated
08/14/2018
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