Individual
DARREN BRANDON KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
11611 LANEY DR, GREENVILLE, TX 75402-3456
(469) 315-0605
Mailing address
11611 LANEY DR, GREENVILLE, TX 75402-3456
(469) 315-0605
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
210417
TX
Other
Enumeration date
05/02/2018
Last updated
05/02/2018
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