NPI 1164781159

Dalton Adams, COTAL

Practitioner Occupational Therapy Assistant Bryan, TX

Practice location

Address: 402 Emmett St, Bryan, TX 77802-1603
Phone: (936) 645-0580

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 210472 (TX)

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Registry record

NPI: 1164781159
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 May 2012
Record last updated: 10 May 2012

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.