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Individual

DENISE JUAREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
3840 HULEN ST, FORT WORTH, TX 76107-7277
(817) 335-3022
Mailing address
620 N ALLEGHANEY AVE, ODESSA, TX 79761-4408
(432) 332-8244
(432) 580-7428

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
114764
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
114764
STATE LICENSE
TX
Enumeration date
11/06/2014
Last updated
07/02/2019
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