Individual
CYNTHIA KIDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1901 N HWY 360 STE 410, GRAND PRAIRIE, TX 75050-1431
(817) 652-2924
Mailing address
1901 N HWY 360 STE 410, GRAND PRAIRIE, TX 75050-1431
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
108159
TX
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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