Individual
COLIN W CANTWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1333 CORPORATE DR STE 330, IRVING, TX 75038-2583
(972) 871-1800
Mailing address
203 ROCKBROOK DR, WYLIE, TX 75098-6140
(682) 224-9431
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
212717
TX
Other
Enumeration date
01/05/2024
Last updated
01/05/2024
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