Individual
GREGORY WAYLON MURDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
17116 HARPERS TRCE APT 3310, CONROE, TX 77385-1153
(936) 553-4440
Mailing address
17116 HARPERS TRCE APT 3310, CONROE, TX 77385-1153
(936) 553-4440
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215307
TX
Other
Enumeration date
01/12/2021
Last updated
01/12/2021
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