Individual
DUSTIN OGNOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA, DOR
Contact information
Practice address
907 GARWOOD ST, SMITHVILLE, TX 78957-1117
(512) 237-4606
Mailing address
3950 HIGHWAY 71 E APT 1212, BASTROP, TX 78602-4655
(512) 662-4898
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
212877
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
212877
TEXAS BOARD OF OCCUPATIONAL THERAPY EXAMINERS
TX
Enumeration date
08/14/2018
Last updated
08/14/2018
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