Individual
MRS. POONAM MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
14655 PRESTON RD, DALLAS, TX 75254-7805
(972) 726-7575
Mailing address
14655 PRESTON RD, DALLAS, TX 75254-7805
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
108803
TX
Other
Enumeration date
09/28/2018
Last updated
09/28/2018
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