Individual
AMBER STOCKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
500 W 3RD AVE STE 6, CORSICANA, TX 75110-4564
(903) 872-5925
Mailing address
614 LAUREL RD, ATHENS, TX 75751-3302
(903) 203-9543
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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