Individual
REBECCA DIANE MEBANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1809 N US HIGHWAY 87, BIG SPRING, TX 79720-0793
(432) 268-8387
Mailing address
PO BOX 61, TARZAN, TX 79783-0061
(806) 893-0436
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215666
TX
Other
Enumeration date
04/25/2019
Last updated
04/25/2019
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