Individual
HAYDEN RILEY ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
7801 WOODWAY DR, WOODWAY, TX 76712-3860
(254) 235-7801
(254) 235-5834
Mailing address
206 W BILLINGTON DR, ROBINSON, TX 76706-5010
(254) 424-8656
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215613
TX
Other
Enumeration date
03/14/2019
Last updated
03/14/2019
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