Individual
LINDA CAROL MACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
2300 S OAK GROVE RD, ENNIS, TX 75119-6841
(972) 875-8643
Mailing address
1505 LYNDALE DR, ENNIS, TX 75119-2325
(817) 899-7097
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
209686
TX
Other
Enumeration date
08/22/2018
Last updated
08/22/2018
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