Organization
FULL SPECTRUM HEALING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TINA M ANDERSON OTR (CE)
(512) 538-5748
Entity
Organization
Contact information
Practice address
801 PANORAMA DR, DRIPPING SPRINGS, TX 78620-2532
(512) 538-5748
Mailing address
801 PANORAMA DR, DRIPPING SPRINGS, TX 78620-2532
(512) 538-5748
(512) 382-9040
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225X00000X
Occupational Therapist
103532
TX
225X00000X
Occupational Therapist
112162
TX
225XE0001X
Environmental Modification Occupational Therapist
103532
TX
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
103532
TX
225XH1200X
Hand Occupational Therapist
103532
TX
225XH1200X
Hand Occupational Therapist
112162
TX
225XP0200X
Pediatric Occupational Therapist
103532
TX
225XP0200X
Pediatric Occupational Therapist
112162
TX
225XP0200X
Pediatric Occupational Therapist
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
09/02/2009
Last updated
09/21/2009
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