Individual
ELAINE IRWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2301 MARSH LN # 200, PLANO, TX 75093-8497
(972) 695-6479
Mailing address
2813 WHITE DOVE DR, PLANO, TX 75093-1925
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
109378
TX
Other
Enumeration date
08/24/2018
Last updated
08/24/2018
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