Individual
MRS. DANA NICOLE TREVINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2201 N CENTRAL EXPY STE 110, RICHARDSON, TX 75080-2718
(214) 265-1819
Mailing address
2905 INDEPENDENCE DR, MELISSA, TX 75454-2459
(949) 226-2461
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
108919
TX
Other
Enumeration date
10/17/2006
Last updated
11/03/2009
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