Individual
DEONDRA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6225 N STATE HIGHWAY 161, IRVING, TX 75038-2223
(214) 587-4293
Mailing address
355 W WESTCHESTER PKWY, GRAND PRAIRIE, TX 75052-5284
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
114073
TX
Other
Enumeration date
12/30/2014
Last updated
05/14/2015
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