Individual
DOREEN MARY DEDEYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1350 E LOOKOUT DR, RICHARDSON, TX 75082-4106
(972) 220-2000
Mailing address
1350 E LOOKOUT DR, RICHARDSON, TX 75082-4106
(972) 220-2000
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
007666-1
NY
224Z00000X
Occupational Therapy Assistant
Primary
212404
TX
224Z00000X
Occupational Therapy Assistant
46TA09078300
NJ
Other
Enumeration date
04/01/2012
Last updated
04/23/2015
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