Individual
MARY T COYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
325 N SAINT PAUL ST, SUITE 4200, DALLAS, TX 75201-3801
(866) 953-0011
Mailing address
PO BOX 607, ANNISTON, AL 36202-0607
(256) 591-0135
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
210279
TX
Other
Enumeration date
03/13/2009
Last updated
03/13/2009
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