Individual
CHELSEA NICOLE SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
5001 STATESMAN DR, IRVING, TX 75063-2414
(469) 524-1506
Mailing address
5001 STATESMAN DR, IRVING, TX 75063-2414
(469) 524-1506
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
OTA11824
FL
Other
Enumeration date
08/10/2012
Last updated
08/10/2012
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