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Individual

ELISSA MARIE NEWMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOT, OTR/L

Contact information

Practice address
15820 ADDISON RD, ADDISON, TX 75001-3549
(866) 919-3240
Mailing address
9337 SAGE VILLA DR APT 2301, FORT WORTH, TX 76177-1004
(817) 343-6135

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
119589
TX

Other

Enumeration date
01/09/2019
Last updated
01/09/2019
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