# LIBERTY THERAPY, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205166063
- **Authorized official:** MRS. DALAINE BARRON FLETCHER OTR (PROVIDER/FACILITATOR)
- **Authorized official phone:** (469) 641-0004

## Contact information

- **Practice address:** 107 NW MAIN ST, ENNIS, TX 75119-4053
- **Practice address phone:** (469) 641-0004
- **Mailing address:** 107 NW MAIN ST, ENNIS, TX 75119-4053

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | 100503 | TX | Yes |

## Other

- **Enumeration date:** 12/30/2009
- **Last updated:** 12/30/2009