Individual
MS. MARY M EADLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4800 MEMORIAL DR, WACO, TX 76711-1329
(254) 297-3907
Mailing address
7 BIRCH CT, BELTON, TX 76513-9252
(254) 297-3907
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
208585
TX
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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