Individual
MS. AMY LYNN FUQUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3040 POST OAK BLVD., SUITE 1200, HOUSTON, TX 77056
(713) 965-9998
Mailing address
1615 DETERING ST, HOUSTON, TX 77007-3138
(281) 782-4899
(713) 965-9921
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
210175
TX
Other
Enumeration date
05/28/2010
Last updated
05/28/2010
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