Individual
MRS. ANDRIA VENIQUE SIMS-PERKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
310 ALMA ST, LONGVIEW, TX 75605-4810
(903) 238-6417
Mailing address
310 ALMA ST, LONGVIEW, TX 75605-4810
(903) 238-6417
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
209898
TX
Other
Enumeration date
07/05/2018
Last updated
07/05/2018
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