Individual
LISA MARIE WURZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
8200 WALNUT HILL LN, DALLAS, TX 75231-4426
(214) 434-8952
Mailing address
8200 WALNUT HILL LN, DALLAS, TX 75231-4426
(214) 434-8952
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215252
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
215252
TEXAS BOARD OF OCCUPATIONAL THERAPY EXAMINERS
TX
Enumeration date
08/16/2018
Last updated
08/16/2018
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