Individual
CORTNIE ITSCHNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3301 W PARK ROW BLVD, CORSICANA, TX 75110-4846
(903) 874-5238
Mailing address
3001 SPRING FOREST RD, RALEIGH, NC 27616-2815
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
211011
TX
Other
Enumeration date
09/19/2011
Last updated
09/19/2011
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