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Individual

JOAN BARATANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2010 SW H K DODGEN LOOP, SUITE 201, TEMPLE, TX 76504-7062
(254) 774-9991
(817) 789-6849
Mailing address
2010 SW H K DODGEN LOOP, SUITE 201, TEMPLE, TX 76504-7062
(254) 774-9991
(817) 789-6849

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
105652
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
149984001
TX
05
456606
TX
05
676535
TX
Enumeration date
02/26/2013
Last updated
02/26/2013
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