Individual
LADONNA SORENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1321 RIO GRANDE AVE, TEXARKANA, TX 75503-3523
(903) 293-3434
Mailing address
1321 RIO GRANDE AVE, TEXARKANA, TX 75503-3523
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
212537
TX
Other
Enumeration date
11/05/2019
Last updated
11/05/2019
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