Organization
LEANN CARGILE , OTR, LLC
Active
Other names
Skill Builders Therapy Services
Organization subpart
No
Provider details
NPI number
Authorized official
LEANN CARGILE OTR (OWNER)
(903) 258-0807
Entity
Organization
Contact information
Practice address
615 S BROADWAY AVE STE 103, TYLER, TX 75701-1668
(903) 258-0807
(903) 686-1211
Mailing address
11231 MARSH WREN CIR, FLINT, TX 75762-8739
(903) 258-0807
(903) 686-1211
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
106193
TX
Other
Enumeration date
11/21/2017
Last updated
11/21/2017
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