Individual
MRS. ELIZABETH ANN HEADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
6203 ALDEN BRIDGE DR, THE WOODLANDS, TX 77382-5121
(832) 510-7537
Mailing address
25 S TALLOWBERRY DR, SPRING, TX 77381-2881
(757) 510-0177
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
0131001356
VA
224Z00000X
Occupational Therapy Assistant
Primary
215189
TX
Other
Enumeration date
05/19/2014
Last updated
01/15/2019
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