NPI 1144700915

Carla Denise Champion

Practitioner Occupational Therapy Assistant Glen Rose, TX

Practice location

Address: 1021 Holden St, Glen Rose, TX 76043-4937
Phone: (254) 897-1429

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 210034 (TX)

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Registry record

NPI: 1144700915
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Aug 2018
Record last updated: 21 Aug 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.