Individual
DEBRA RUNYON PURVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2620 W WALKER ST, LEAGUE CITY, TX 77573-6812
(281) 309-5400
Mailing address
2024 GLENCOVE DR, SEABROOK, TX 77586-3318
(832) 647-5996
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
208304
TX
Other
Enumeration date
01/31/2019
Last updated
01/31/2019
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