Individual
TABATHA SHAE VRLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4365 S HULEN ST, FORT WORTH, TX 76109-4917
(817) 238-3033
(682) 292-2930
Mailing address
2701 AIRPORT FWY STE A, FORT WORTH, TX 76111-2378
(682) 564-5476
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
10/27/2022
Last updated
10/27/2022
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