Organization
NORTH TEXAS THERAPY INNOVATIONS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH L MCBRIDE OT (OWNER)
(214) 349-6178
Entity
Organization
Contact information
Practice address
11886 GREENVILLE AVE, SUITE 110, DALLAS, TX 75243-0584
(214) 349-6178
(214) 575-9898
Mailing address
11886 GREENVILLE AVE, SUITE 110, DALLAS, TX 75243-0584
(214) 349-6178
(214) 575-9898
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
540020000
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
540020000
STATE LICENSE
TX
Enumeration date
12/08/2006
Last updated
03/08/2016
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