Liana Marie Clevenger, COTA
Occupational Therapy Assistant in Waco, TX. Individual provider (NPI-1).
NPI number1255801445
StatusActive
Last updated in NPPESNov 29, 2018
Details
- NPI
- 1255801445
- Entity type
- Individual (NPI-1)
- Name
- Liana Marie Clevenger
- Credential
- COTA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 29, 2018
- Last updated
- Nov 29, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224Z00000X | Occupational Therapy Assistant | 208998 | TX | Yes |
Practice location
9114 Royal LnWaco, TX 76712-8469
Phone 254-666-2164
Mailing address
9114 Royal LnWaco, TX 76712-8469
Phone 254-666-2164
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All 70 Occupational Therapy Assistant providers in Waco · All 4,231 providers in Waco
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