Individual
ELIZABETH VASSAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3922 LARAMIE DR, GRANBURY, TX 76049-7222
(817) 376-7753
Mailing address
3922 LARAMIE DR, GRANBURY, TX 76049-7222
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
214866
TX
Other
Enumeration date
08/26/2018
Last updated
08/26/2018
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