Individual
PATRICK RAY DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
6502 SLIDE RD STE 204, LUBBOCK, TX 79424-1311
(806) 686-0429
Mailing address
6502 SLIDE RD STE 204, LUBBOCK, TX 79424-1311
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
216936
TX
Other
Enumeration date
07/30/2021
Last updated
07/30/2021
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