Individual
ALEXIS DION GATHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
8500 EMERALD HILLS WAY, NORTH RICHLAND HILLS, TX 76180-5662
(817) 577-3337
Mailing address
305 FALMOUTH TURNING, HAMPTON, VA 23669-1426
(850) 338-5948
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
218403
TX
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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