Individual
DARDHIELLE JEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
480 W SOUTHLAKE BLVD STE 111, SOUTHLAKE, TX 76092-6167
(817) 778-9910
Mailing address
1300 NE 132ND ST, NORTH MIAMI, FL 33161-4339
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
115505
TX
Other
Enumeration date
04/23/2012
Last updated
02/12/2024
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