Individual
SAVANNAH LAYNE TERRY HATFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1710 MOORES LN, TEXARKANA, TX 75503-1858
(903) 794-2705
Mailing address
330 N PECAN ST APT 51, NASH, TX 75569-2547
(903) 701-7510
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
218415
TX
Other
Enumeration date
08/29/2024
Last updated
08/29/2024
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