Individual
CHEYENNE VANWINKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
203 PR 2144, IREDELL, TX 76649
(254) 979-1621
Mailing address
PO BOX 283, IREDELL, TX 76649-0283
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
216183
TX
Other
Enumeration date
06/26/2020
Last updated
06/26/2020
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