Individual
TODD ROBERT ROEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2126 E HIGHWAY 190, SUITE 1, COPPERAS COVE, TX 76522-2589
(254) 217-0284
(254) 393-0602
Mailing address
PO BOX 3166, HARKER HEIGHTS, TX 76548-0556
(254) 217-0284
(254) 217-0284
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
208862
TX
Other
Enumeration date
05/09/2008
Last updated
05/09/2008
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