Individual
LINDA FOUNTAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.A.
Contact information
Practice address
3120 SOUTHWEST FWY, SUITE 612, HOUSTON, TX 77098-4509
(713) 979-3800
(713) 979-3806
Mailing address
305 NE LOOP 820, BUSINESS TOWER1 , SUITE 200, HURST, TX 76053-7209
(817) 292-8787
(817) 789-6849
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
205583
TX
Other
Enumeration date
06/04/2014
Last updated
06/04/2014
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