Individual
ERYIA SHANISE IRVING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
5850 E LOVERS LN, DALLAS, TX 75206-2902
(618) 975-4594
Mailing address
14540 ENGLISH PARK CIR UNIT 104, LOUISVILLE, KY 40299-6473
(618) 975-4594
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
02/02/2023
Last updated
02/02/2023
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