Individual
MARJORIE ARLENE CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
5001 STATESMAN DR, IRVING, TX 75063-2414
(972) 830-4464
(972) 983-0292
Mailing address
5001 STATESMAN DR, IRVING, TX 75063-2414
(972) 830-4464
(972) 983-0292
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
#C1695
WV
Other
Enumeration date
10/14/2010
Last updated
10/14/2010
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