Individual
MICHELLE MARIE HEWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 SUMMIT AVE, FORT WORTH, TX 76102-3425
(817) 877-1199
Mailing address
456 PRICKLY PEAR TRL, GORDON, TX 76453-3868
(254) 977-2246
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
209423
TX
Other
Enumeration date
07/08/2021
Last updated
07/08/2021
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