Individual
MARSHA G TRIETSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
820 SMALL ST, GRAND PRAIRIE, TX 75050-5856
(972) 262-1351
Mailing address
820 SMALL ST, GRAND PRAIRIE, TX 75050-5856
(972) 262-1351
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
206458
TX
Other
Enumeration date
08/08/2018
Last updated
08/08/2018
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