TIMOTHY ALAN PURVIANCE

AMARILLO, TX
NPI1245445659
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: TX  209125)
Enumeration Date2007-05-11
Last Update Date2007-07-08
Business Address
-- TIMOTHY ALAN PURVIANCE COTA
5108 PIN OAK DR
AMARILLO, TX 79110-4625
Phone number: 806-463-7523
Mailing Address
-- TIMOTHY ALAN PURVIANCE COTA
PO BOX 19914
AMARILLO, TX 79114-1914
Phone number: 806-463-7523
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