Individual
MRS. MADELINE GRACE ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4824 MCKNIGHT RD, TEXARKANA, TX 75503-0935
(903) 793-6135
Mailing address
4824 MCKNIGHT RD, TEXARKANA, TX 75503-0935
(903) 793-6135
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
216694
TX
Other
Enumeration date
05/17/2021
Last updated
05/17/2021
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