New Destinations

NPI #1235367384 in Tenaha, Texas

Provider Information

NPI Number: 1235367384
Entity Type: Organization
Organization Name: New Destinations
Primary Specialty: Occupational Therapist
Enumeration Date: Jun 29, 2009
Last Updated: Jul 2, 2010

Practice Location

Address: 649 COUNTY ROAD 433
City: Tenaha
State: Texas
ZIP Code: 75974-6332
Phone: (936) 248-2322

Authorized Official

Name: MS. TERRIE MAE KING, LOT
Title: PROGRAM COORDINATOR
Phone: (903) 692-3463

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X
Occupational Therapist	225X00000X	Primary

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