Most Relevant Information
Provider Data
| NPI Number: | 1003396987 |
| Provider Name: | MICHELLE LEE GASCOT OTA |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | 212254 |
Most Important Dates
| Enumeration Date: | 08/20/2018 |
| Last Updated: | 08/20/2018 |
Provider Practice Location
106 BELT LINE RD
GARLAND
TX
750404104
Practice Location Phone/Fax
| Phone: | 9724957700 |
| Fax: |
Provider Mailing Location
2600 HARRIS DR
GARLAND
TX
750412904
Provider Mailing Phone/Fax
| Phone: | 2148934633 |
| Fax: |