Individual
RUTH M NISWANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1730 6TH ST, HEMPSTEAD, TX 77445-6210
(979) 826-2532
Mailing address
1730 6TH ST, HEMPSTEAD, TX 77445-6210
(979) 826-2532
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
204273
TX
Other
Enumeration date
07/17/2009
Last updated
07/17/2009
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