Individual
MRS. KETAKI H VANKAWALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4343 N JOSEY LN, CARROLLTON, TX 75010-4603
(972) 394-2232
Mailing address
2609 QUEEN MARGARET DR, LEWISVILLE, TX 75056-5804
(972) 899-1232
(972) 899-1232
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
109979
TX
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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