Deneicia L Gasaway, COTA

NPI #1033414008 in Tyler, Texas

Provider Information

NPI Number: 1033414008
Entity Type: Individual
Name: Deneicia L Gasaway, COTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapy Assistant
Credential: COTA
Enumeration Date: Jan 21, 2011
Last Updated: Jan 21, 2011

Practice Location

Address: 3505 OLD JACKSONVILLE RD
City: Tyler
State: Texas
ZIP Code: 75701-8510
Phone: (903) 561-7835

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapy Assistant	224Z00000X	Primary

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