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Individual

DORENNA WALZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
763 MARLANDWOOD RD, TEMPLE, TX 76502-3573
(254) 771-5950
Mailing address
7620 HIDDEN HOLLOW DR, WACO, TX 76712-3870

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
209507
TX

Other

Enumeration date
02/04/2019
Last updated
02/04/2019
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