Individual
SALLY AITKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3721 EXECUTIVE CENTER DR, SUITE 201, AUSTIN, TX 78731-1645
(512) 372-3777
Mailing address
3721 EXECUTIVE CENTER DR, SUITE 201, AUSTIN, TX 78731-1645
(512) 372-3777
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
205876
TX
Other
Enumeration date
04/01/2014
Last updated
04/01/2014
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