Individual
ASHLEY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
703 TITUS ST, GILMER, TX 75644-1738
(903) 843-5529
Mailing address
401 N ELM ST, DENTON, TX 76201-4137
(940) 387-4388
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
214717
TX
Other
Enumeration date
08/24/2018
Last updated
08/24/2018
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