Mary Fitzgerald COTA

NPI 1093193179 - Residential Treatment Facility, Physical Disabilities - 320700000X

NPI Details
NPI 1093193179
Gender Female
Enumeration Date 05/11/2015
Last Updated 05/11/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
4650 S PANTHER CREEK DR
THE WOODLANDS TX, 77381-2764, US
Phone (281) 363-3535
Fax
Business Location
4650 S PANTHER CREEK DR
THE WOODLANDS TX, 77381-2764, US
Phone
Fax
Toxanomy
Taxonomy Code 320700000X
License State
License Number
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According to our database, Mary Fitzgerald COTA NPI is 1093193179, taxonomy code is 320700000X Mary Fitzgerald COTA physically located at 4650 S Panther Creek Dr, The Woodlands TX, 77381-2764. NPI Number Mary Fitzgerald COTA has the Individual type.

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1093193179 NPI number is provided on an as is basis without warranty of any kind. 1093193179 is maintained by the National Plan & Provider Enumeration System. The contents of Mary Fitzgerald COTA are for informational purposes only.