Individual
MRS. ANITA OOMMEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
3362 FOREST LN, DALLAS, TX 75234-7796
(972) 481-1484
Mailing address
3362 FOREST LN, DALLAS, TX 75234-7796
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
102010
TX
Other
Enumeration date
08/12/2015
Last updated
08/12/2015
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