Individual
DOUNGPAN PHONGPAICHIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1101 OHIO DRIVE, SUITE 105, PLANO, TX 75093
(972) 599-9594
(972) 599-9364
Mailing address
1101 OHIO DRIVE, SUITE 105, PLANO, TX 75093
(972) 599-9594
(972) 599-9364
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
111926
TX
Other
Enumeration date
08/20/2006
Last updated
09/15/2008
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