BENJAMIN CHARLES ANDERSON

HENDERSON, TX
NPI1417143272
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: TX  209816)
Enumeration Date2007-09-14
Last Update Date2007-09-14
Business Address
-- BENJAMIN CHARLES ANDERSON COTA
1010 W MAIN ST
HENDERSON, TX 75652-2923
Phone number: 903-657-6549
Mailing Address
-- BENJAMIN CHARLES ANDERSON COTA
223 MITCHELL RD
MARSHALL, TX 75670-2254
Phone number: 903-938-2863