Individual
BRENDA BADILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4300 SIGMA RD STE 130, DALLAS, TX 75244-4445
(972) 630-6381
Mailing address
3904 YARBERRY CT, ROANOKE, TX 76262
(787) 667-5770
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
212417
TX
Other
Enumeration date
11/09/2017
Last updated
09/25/2023
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