Individual
YURY DIANNE BETANCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
6301 GASTON AVE STE 750, DALLAS, TX 75214-6339
(214) 295-5374
Mailing address
2050 KELLER SPRINGS RD APT 417, CARROLLTON, TX 75006-4352
(903) 934-0394
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
119987
TX
Other
Enumeration date
05/29/2019
Last updated
05/29/2019
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