MEDICARE: CYNTHIA AARONSON PIERCE OTR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	100105	TX

General Provider Information

NPI Number	:	1114995446
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYNTHIA AARONSON PIERCE OTR

Provider Business Mailing Address
First Line	:	18 WILDEVER PL
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77382-2821
Country	:	US
Telephone Number	:	281-292-0385
Fax Number	:	281-292-0389

Provider Business Practice Location Address
First Line	:	18 WILDEVER PL
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77382-2821
Country	:	US
Telephone Number	:	281-292-0385
Fax Number	:	281-292-0389

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/11/2006
Last Update Date	:	04/22/2008

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