Individual
HELENA MEDEIROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
430 OLD AUSTIN HWY, BASTROP, TX 78602-5168
(512) 321-3527
Mailing address
430 OLD AUSTIN HWY, BASTROP, TX 78602-5168
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
210791
MA
Other
Enumeration date
11/04/2009
Last updated
08/14/2014
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