Individual
WINDY HOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
8300 CENTRAL PARK DR STE A, WACO, TX 76712-6666
(254) 755-6179
Mailing address
202 SILVER SPUR TRL, MC GREGOR, TX 76657-4072
(903) 388-4654
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
208687
TX
Other
Enumeration date
08/22/2018
Last updated
08/22/2018
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