Individual
PATRICIA M SAMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
5417 ALTAMESA BLVD, FORT WORTH, TX 76123-2804
(817) 292-8886
Mailing address
9105 EDENBERRY LANE, FORT WORTH, TX 76179
(972) 838-8284
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215702
TX
Other
Enumeration date
11/19/2019
Last updated
11/19/2019
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