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Individual

ABIGAIL VANDERLAAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
321 W BEN WHITE BLVD STE 101, AUSTIN, TX 78704-7086
(512) 215-9272
Mailing address
1033 LA POSADA DR STE 230, AUSTIN, TX 78752-3842

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
122424
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
122424
TEXAS BOARD OF OCCUPATIONAL THERAPY EXAMINERS
TX
Enumeration date
04/11/2022
Last updated
04/11/2022
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