Individual
GABRIEL ALCORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
5143 BALMORAL CT, GRAND PRAIRIE, TX 75052-2566
(469) 585-3773
Mailing address
5143 BALMORAL CT, GRAND PRAIRIE, TX 75052-2566
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
123888
TX
Other
Enumeration date
09/20/2023
Last updated
09/20/2023
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