Individual
LATASHIA KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4501 TRADITION TRL, PLANO, TX 75093-5610
(469) 969-0740
Mailing address
4501 TRADITION TRL, PLANO, TX 75093-5610
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
08/08/2018
Last updated
08/08/2018
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