Individual
ASHLEY PAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2900 STILLHOUSE RD, PARIS, TX 75462-2029
(903) 785-1601
Mailing address
259 MELANIE LN W, POWDERLY, TX 75473-5666
(254) 709-1968
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
210781
TX
Other
Enumeration date
01/10/2022
Last updated
01/10/2022
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