Individual
AMY SITABKHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2222 WELBORN ST, DALLAS, TX 75219-3924
(214) 559-7790
Mailing address
2222 WELBORN ST, DALLAS, TX 75219-3924
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
121162
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
121162
TEXAS OCCUPATIONAL THERAPIST LICENSE
TX
Enumeration date
10/10/2020
Last updated
01/13/2023
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