DEIDRE LYNN FERGASON

TYLER, TX
NPI1215419353
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224ZE0001X Occupational Therapy Assistant, Environmental Modification
(Licence: TX  103800)
Enumeration Date2018-09-05
Last Update Date2018-09-05
Business Address
Mrs. DEIDRE LYNN FERGASON OTR
3505 OLD JACKSONVILLE HWY
TYLER, TX 75703
Phone number: 903-368-0357
Mailing Address
Mrs. DEIDRE LYNN FERGASON OTR
3505 OLD JACKSONVILLE HWY
TYLER, TX 75703
Phone number: 903-368-0357