FERMOND LEON WASHINGTON

TYLER, TX
NPI1083710719
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: TX  104577)
Enumeration Date2006-09-16
Last Update Date2007-07-08
Business Address
Mr. FERMOND LEON WASHINGTON OT
5609 DONNYBROOK AVE
TYLER, TX 75703-6111
Phone number: 903-962-7901
Mailing Address
Mr. FERMOND LEON WASHINGTON OT
5105 OLD BULLARD RD #S-27
TYLER, TX 75703-3631
Phone number: 903-962-7901
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