Individual
KATHERINE DYKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1340 VZ CR 4512, BEN WHEELER, TX 75754
(903) 802-3288
Mailing address
1340 VZ CR 4512, BEN WHEELER, TX 75754
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215810
TX
Other
Enumeration date
01/09/2020
Last updated
01/09/2020
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