Individual
LILY ROSE BURGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
25018 OAKHURST DR, SPRING, TX 77386-2722
(888) 364-9695
Mailing address
3240 POE DR, MONTGOMERY, TX 77356-5500
(832) 931-3545
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
218090
TX
Other
Enumeration date
11/06/2024
Last updated
11/06/2024
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