Individual
TERRY HUNTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3201 N 4TH ST, LONGVIEW, TX 75605-5145
(903) 236-4291
Mailing address
697 ETHEREDGE RD, LONGVIEW, TX 75602-7059
(903) 738-2671
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
209634
TX
Other
Enumeration date
12/30/2014
Last updated
12/30/2014
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