Individual
ANDREA WISINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1802 S 31ST ST, TEMPLE, TX 76504-6712
(254) 778-4231
Mailing address
3705 HOPI TRL, TEMPLE, TX 76504-5028
(254) 541-2071
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
214268
TX
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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