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Organization
THERAPEUTIC LIFE SKILLS
Active
Organization
THERAPEUTIC LIFE SKILLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA BRITT OTR (PRESIDENT OCCUPATIONAL THERAPIST)
(817) 299-9200
Entity
Organization
Contact information
Practice address
915 SKYLINE DR, ARLINGTON, TX 76011-4924
(817) 299-9200
(817) 299-9222
Mailing address
PO BOX 535217, GRAND PRAIRIE, TX 75053-5217
(817) 299-9222
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
108146
TX
235Z00000X
Speech-Language Pathologist
14970
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8T2750
BLUE CROSS/ BLUE SHIELD
TX
Enumeration date
07/14/2006
Last updated
08/31/2007
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