Individual
MARILYN LOYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
900 GEORGE HOPPER RD, MIDLOTHIAN, TX 76065
(972) 775-5105
Mailing address
102 CLEMSON CT, WAXAHACHIE, TX 75165-1721
(972) 921-5936
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
213484
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
213484
TEXAS BOARD OF OCCUPATIONAL THERAPY EXAMINERS
TX
01
—
348585
THE NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY, INC.
—
Enumeration date
09/25/2018
Last updated
09/25/2018
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