Individual
DEANNA MARGARET CARLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
6301 GASTON AVE STE 750, DALLAS, TX 75214-3922
(214) 295-5374
Mailing address
6301 GASTON AVE STE 750, DALLAS, TX 75214-3922
(214) 295-5374
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
109673
TX
Other
Enumeration date
01/24/2012
Last updated
11/06/2017
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