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Search › Texas › Occupational Therapy Assistant

Ian Gannon, COTA

NPI 1235874165 · on the registry since 2022 · sole proprietor

Practice

Address
4510 Ironton Ave Apt 12206
Lubbock, TX 79407
Phone
(806) 577-6706
Clinicians at this address
4

Registry record

Primary taxonomy
Occupational Therapy Assistant
224Z00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-05-04
Status
Not present in the most recent federal file

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas