Individual
DIEDRA BACINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
7701 COPPER MOUNTAIN LN, MCKINNEY, TX 75070-2686
(972) 795-1021
Mailing address
7701 COPPER MOUNTAIN LN, MCKINNEY, TX 75070-2686
(972) 795-1021
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
111889
TX
Other
Enumeration date
01/10/2007
Last updated
11/17/2010
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