Individual
MACKENZIE PARISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 N BROWN ST, HAMILTON, TX 76531-1518
(254) 386-1670
Mailing address
400 N BROWN ST, HAMILTON, TX 76531-1518
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
216344
TX
Other
Enumeration date
07/13/2021
Last updated
07/13/2021
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