Mary Alice Casillas, COTA Valid NPI

Individual provider · Occupational Therapy Assistant · Alice, TX

NPI

1578772257

Type

Individual (Type 1)

Primary specialty

Occupational Therapy Assistant

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

224Z00000X

License number

209833 (TX)

Sex

Female

Sole proprietor

No

Enumerated

2007-05-21

Last updated

2007-07-08