Individual
IVAN R AYANGCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
20715 SHIFTING SAND LN, RICHMOND, TX 77407-2681
(281) 650-1125
Mailing address
20715 SHIFTING SAND LN, RICHMOND, TX 77407-2681
(281) 650-1125
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
216091
TX
Other
Enumeration date
01/15/2020
Last updated
01/15/2020
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