Individual
TAMARA DAWN DELACRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1402 W ELM ST, OLNEY, TX 76374-1610
(940) 564-2053
Mailing address
2868 FM 2652, GRAHAM, TX 76450-6068
(940) 445-0829
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215342
TX
Other
Enumeration date
01/30/2019
Last updated
01/30/2019
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