Individual
MISS DANA LEANN HAMMONDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2101 W NORTHGATE DR, IRVING, TX 75062-2650
(469) 420-9500
Mailing address
1409 S LAMAR ST, #631, DALLAS, TX 75215-1871
(918) 852-7335
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
211484
TX
Other
Enumeration date
01/23/2012
Last updated
01/23/2012
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