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Individual

GRACE EUBANKS

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
3119 BERKSHIRE LN, CORINTH, TX 76210-1726
(214) 629-6635
(469) 844-4346
Mailing address
PO BOX 875, LAKE DALLAS, TX 75065-0875
(214) 629-6635
(469) 844-4346

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
103221
TX

Other

Enumeration date
06/16/2005
Last updated
07/08/2007
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