Individual
LINDA GRAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
805 HARRISON AVE, MATADOR, TX 79244-2000
(806) 347-1000
Mailing address
805 HARRISON AVE, MATADOR, TX 79244-2000
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
207392
TX
Other
Enumeration date
04/22/2022
Last updated
04/22/2022
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