Individual
HAYDYN CAROLE SKIDMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12810 HILLCREST RD STE B-100, DALLAS, TX 75230-1525
(972) 404-1718
Mailing address
12810 HILLCREST RD STE B-100, DALLAS, TX 75230-1525
(972) 404-1718
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
02/19/2020
Last updated
02/19/2020
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