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Individual

MRS. DENISE SEPULVADO NORRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LOTR

Contact information

Practice address
1404 MARION COUNTY ROAD 3509, JEFFERSON, TX 75657
(318) 453-7329
Mailing address
1404 MARION COUNTY ROAD 3509, JEFFERSON, TX 75657
(318) 453-7329

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
Z11194
LA

Other

Enumeration date
10/25/2005
Last updated
03/03/2010
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