Individual
MARY ELIZABETH GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 FAIRVIEW AVE, PONCA CITY, OK 74601-2053
(580) 762-0121
Mailing address
2635 GREEN FALLS CT, SAN ANTONIO, TX 78258-4522
(210) 325-4579
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
121287
TX
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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