Individual
KARISSA LYNN DILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
14683 MIDWAY RD STE 160, ADDISON, TX 75001-3188
(940) 597-0357
(214) 377-4244
Mailing address
PO BOX 1001, WYLIE, TX 75098-1001
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
122387
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
122387
OTR LICENSE
TX
Enumeration date
03/16/2022
Last updated
03/16/2022
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