Individual
MISS CASSIDEE NICOLE MCCLUSKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1836 SANTA FE DR, WEATHERFORD, TX 76086-6422
(817) 341-7611
Mailing address
1836 SANTA FE DR, WEATHERFORD, TX 76086-6422
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215924
TX
Other
Enumeration date
08/19/2019
Last updated
08/19/2019
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