Individual
ASHLEY NICOLE LEVANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4521 CREEKSIDE DR, HALTOM CITY, TX 76137-2659
(850) 737-9052
Mailing address
14651 DALLAS PKWY STE 200, DALLAS, TX 75254-8856
(866) 919-3240
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
217844
TX
Other
Enumeration date
05/03/2023
Last updated
05/03/2023
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