Individual
MR. ELIJAH N. DONCOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
700 DYER ST, ROCKDALE, TX 76567-2208
(512) 446-2548
Mailing address
730 W BELL AVE, ROCKDALE, TX 76567-2754
(979) 224-6656
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
108475
TX
Other
Enumeration date
07/16/2008
Last updated
07/16/2008
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