Individual
LAURA WETTIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4113 GATEWAY DR STE 200, COLLEYVILLE, TX 76034-5942
(817) 793-7764
Mailing address
120 CREEKWAY BND, SOUTHLAKE, TX 76092-9421
(817) 584-2925
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
119402
TX
Other
Enumeration date
09/14/2018
Last updated
09/14/2018
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