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Individual

KARA ELIZABETH VIRDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
11880 GREENVILLE AVE, STE 100, DALLAS, TX 75243-0587
(214) 349-6178
(214) 575-9898
Mailing address
11880 GREENVILLE AVE, STE 100, DALLAS, TX 75243-0587
(214) 349-6178
(214) 575-9898

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
111847
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8T6306
BCBS
TX
Enumeration date
10/03/2008
Last updated
10/03/2008
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