Individual
DANIELLE KOMORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
8502 EDGEMERE RD, DALLAS, TX 75225-3523
(214) 623-6119
Mailing address
110 SIERRA GRANDE ST APT 1201, RED OAK, TX 75154-2400
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
214198
TX
Other
Enumeration date
11/04/2021
Last updated
11/04/2021
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