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1841597481
MICHELLE GAIL TANNER
AUSTIN, TX
NPI
1841597481
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Former Name
MICHELLE GAIL SIMON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: TX 113990)
Enumeration Date
2011-02-17
Last Update Date
2017-07-06
Business Address
-- MICHELLE GAIL TANNER OTR
3705 MEDICAL PKWY SUITE 515
AUSTIN, TX 78705-1019
Phone number: 512-452-6475
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Mailing Address
-- MICHELLE GAIL TANNER OTR
3705 MEDICAL PKWY SUITE 515
AUSTIN, TX 78705-1019
Phone number: 512-452-6475
Copy
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