Individual
CORA ANNE CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR, OTD
Contact information
Practice address
7201 HAWKINS VIEW DR STE 151, FORT WORTH, TX 76132-3934
(817) 479-7019
Mailing address
3200 RIVER LODGE TRL S APT 1031, FORT WORTH, TX 76116-0858
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
124003
TX
225XP0200X
Pediatric Occupational Therapist
124003
TX
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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