Individual
SOPHIA KALISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
9900 N CENTRAL EXPY, DALLAS, TX 75231-4395
(214) 265-0420
Mailing address
9900 N CENTRAL EXPY, DALLAS, TX 75231-4395
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
212423
TX
Other
Enumeration date
04/16/2014
Last updated
04/16/2014
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