Individual
KRUPA BHAKTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2450 BICKERS ST, DALLAS, TX 75212-1507
(214) 879-0888
Mailing address
7425 LA VISTA DR APT 2322, DALLAS, TX 75214-4476
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
115350
TX
Other
Enumeration date
08/24/2018
Last updated
08/24/2018
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