Individual
MR. COLIN PAULINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
905 OHIO ST, VIDOR, TX 77662-6637
(713) 805-4095
Mailing address
4225 LAKE ARTHUR DR, PORT ARTHUR, TX 77642-6490
(409) 727-3193
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
210854
TX
Other
Enumeration date
08/15/2010
Last updated
08/15/2010
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