Individual
MRS. ELIZABETH ANN VIRAMONTES SANCHEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3201 N 4TH ST, LONGVIEW, TX 75605-5145
(903) 236-4291
Mailing address
1605 LEISURE LN, LONGVIEW, TX 75605-3342
(903) 445-6598
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
208653
TX
Other
Enumeration date
12/29/2014
Last updated
12/29/2014
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