Individual
DUSTAN HOUGHTALING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
305 NE LOOP 820, BUSINESS TOWER 1 SUITE 200, HURST, TX 76053
(817) 292-8787
(817) 789-6849
Mailing address
18317 TALL GRASS PRAIRIE DR, PFLUGERVILLE, TX 78660-2391
(512) 993-4114
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
211823
TX
Other
Enumeration date
11/20/2015
Last updated
11/20/2015
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