Individual
DORICIA OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
104 REX KERWIN CT, PFLUGERVILLE, TX 78660-2630
(512) 251-3915
Mailing address
101 W GOODWIN AVE, VICTORIA, TX 77901-6502
(361) 576-0694
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
209596
TX
Other
Enumeration date
08/14/2018
Last updated
08/14/2018
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