Individual
MRS. HEATHER MELISSA VAILLANCOURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
12915 MASON TERRACE LN, CYPRESS, TX 77433-7579
(713) 459-5783
Mailing address
12915 MASON TERRACE LN, CYPRESS, TX 77433-7579
(713) 459-5783
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
115977
TX
Other
Enumeration date
06/03/2015
Last updated
06/03/2015
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