Individual
EMILY PROCTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
201 WATERMERE DR, SOUTHLAKE, TX 76092-8137
(817) 482-1340
Mailing address
PO BOX 121, GORDON, TX 76453-0121
(254) 413-3083
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
115971
TX
Other
Enumeration date
12/01/2014
Last updated
12/01/2014
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