Individual
MARIAH CARMICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14651 DALLAS PKWY STE 200, DALLAS, TX 75254-8856
(866) 919-3240
Mailing address
1250 LEONA ST APT 1343, HOUSTON, TX 77009-1596
(815) 885-2715
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
218017
TX
Other
Enumeration date
02/16/2021
Last updated
11/09/2023
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