Individual
MRS. DESIREE YVONNE VANDER MEULEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
5001 OFFICE PARK, ODESSA, TX 79762-4843
(432) 362-1800
Mailing address
9913 DUBLIN AVE, ODESSA, TX 79765-1484
(575) 361-4048
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
214166
TX
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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