Individual
MS. EVANA MARIE STRECKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1410 1/2 SHAFTER ST, SAN ANGELO, TX 76901-4663
(325) 315-6072
Mailing address
1410 1/2 SHAFTER ST, SAN ANGELO, TX 76901-4663
(325) 315-6072
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
209924
TX
224Z00000X
Occupational Therapy Assistant
OC00000862
WA
Other
Enumeration date
09/09/2009
Last updated
09/10/2009
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