Individual
ERICA ALEXIS COLLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1620 MAGNOLIA ST, LIBERTY, TX 77575-3546
(936) 336-8844
Mailing address
26703 N FAIRWAY OAKS DR, HUFFMAN, TX 77336-3759
(281) 795-4426
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215971
TX
Other
Enumeration date
10/24/2019
Last updated
10/24/2019
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