Individual
JUDITH A CISSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
9301 N CENTRAL EXPY, SUITE 340, DALLAS, TX 75231-0806
(214) 528-6210
Mailing address
101 N BROOKSIDE DR, #616, DALLAS, TX 75214-4523
(214) 528-6210
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
109323
TX
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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