Individual
MS. CONNIE GAYLE RANKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
4303 TEXAS BLVD, SUITE 8, TEXARKANA, TX 75503-3097
(903) 793-1797
Mailing address
7215 STONEWALL DR, TEXARKANA, TX 75503-0917
(903) 831-4511
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
103929
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86941T
BCBS
TX
01
—
99453
BCBS
AR
Enumeration date
07/17/2006
Last updated
07/08/2007
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