Individual
MARY B PRATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2011 W KOENIG LN, AUSTIN, TX 78756-1131
(512) 467-7006
Mailing address
5905 RICKEY DR, AUSTIN, TX 78757-4428
(512) 453-2063
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
101441
TX
Other
Enumeration date
06/15/2012
Last updated
06/15/2012
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