Individual
DAPHANE CASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2300 POOL RD, #332, GRAPEVINE, TX 76051-4254
(817) 410-3757
Mailing address
2721 HALSEY DR, FLOWER MOUND, TX 75028-1475
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
111280
TX
Other
Enumeration date
08/19/2013
Last updated
08/19/2013
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