Individual
MEREDITH GRACE MANSFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
5585 CARUTH HAVEN LN, DALLAS, TX 75225-8157
(214) 305-6698
Mailing address
5585 CARUTH HAVEN LN, DALLAS, TX 75225-8157
(214) 305-6698
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
216847
TX
Other
Enumeration date
09/14/2022
Last updated
09/14/2022
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