Individual
DANIELLE HARSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, LOT
Contact information
Practice address
2535 LONE STAR DR, DALLAS, TX 75212-6313
(877) 626-7003
Mailing address
719 COWBOYS PKWY, #2051, IRVING, TX 75063-5200
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
111736
TX
Other
Enumeration date
09/19/2007
Last updated
09/19/2007
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