Organization
LIBERTY THERAPY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DALAINE BARRON FLETCHER OTR (PROVIDER/FACILITATOR)
(469) 641-0004
Entity
Organization
Contact information
Practice address
107 NW MAIN ST, ENNIS, TX 75119-4053
(469) 641-0004
Mailing address
107 NW MAIN ST, ENNIS, TX 75119-4053
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
100503
TX
Other
Enumeration date
12/30/2009
Last updated
12/30/2009
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