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Individual

MRS. CAROLE IRENE HOSKINSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
404 RACQUET CLUB BLVD, BEDFORD, TX 76022-6408
(682) 738-3056
Mailing address
7039 NORTHSTAR DR, GRAND PRAIRIE, TX 75054-7239
(214) 282-3541

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
213164
TX

Other

Enumeration date
08/08/2017
Last updated
08/08/2017
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