Individual
BINOD BISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
2705 CHATSWORTH DR, GRAPEVINE, TX 76051-7728
(817) 733-6497
Mailing address
2705 CHATSWORTH DR, GRAPEVINE, TX 76051-7728
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
411642
TX
225X00000X
Occupational Therapist
Primary
119575
TX
Other
Enumeration date
11/06/2024
Last updated
09/16/2025
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