Individual
ERMIRA AME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3108 WATERTON CIR, DENTON, TX 76210-7200
(940) 218-8145
Mailing address
3108 WATERTON CIR, DENTON, TX 76210-7200
(940) 218-8145
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
119168
TX
Other
Enumeration date
08/23/2018
Last updated
08/23/2018
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