Mindy Dawn Clemons, OT

Individual provider Active NPI Occupational Therapist · Whitehouse, TX

NPI 1841785508 · NPPES record last updated Jun 26, 2018

Key facts

NPI
1841785508
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
105343 (TX)
Practice address
13006 S Hillcreek Rd
Whitehouse, TX 75791-5337
Phone
(903) 279-2570
NPI assigned
Jun 26, 2018
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
105343TXMDSocial Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 105343 TX Yes

Addresses

Primary practice location

13006 S Hillcreek Rd
Whitehouse, TX 75791-5337

Mailing address

13006 S Hillcreek Rd
Whitehouse, TX 75791-5337
Phone (903) 279-2570

Other providers in Whitehouse, TX

All providers in Whitehouse, TX · Occupational Therapist in Texas

Sources for this page

Verify at the official NPI Registry.