Individual
MADYSON VAWN WIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1250 WALLACE BLVD, AMARILLO, TX 79106-1741
(806) 353-3596
Mailing address
1250 WALLACE BLVD, AMARILLO, TX 79106-1741
(806) 353-3596
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215769
TX
Other
Enumeration date
06/25/2019
Last updated
02/08/2023
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