Individual
DYANN HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
7732 GRASSLAND DR, FORT WORTH, TX 76133-7922
(817) 773-4453
Mailing address
7732 GRASSLAND DR, FORT WORTH, TX 76133-7922
(817) 773-4453
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
212556
TX
Other
Enumeration date
04/19/2017
Last updated
04/19/2017
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