Individual
TERESA ANN WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4934 S 7TH ST, ABILENE, TX 79605-2642
(325) 692-2172
Mailing address
4934 S 7TH ST, ABILENE, TX 79605-2642
(325) 692-2172
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
209593
TX
Other
Enumeration date
11/02/2010
Last updated
12/16/2010
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