Individual
LISA MAUREEN PRESTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2011 BROADWAY ST STE 130, PEARLAND, TX 77581-5945
(512) 431-4721
Mailing address
8801 N FM 620 RD APT 1214, AUSTIN, TX 78726-3523
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
217963
TX
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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