Individual
RAINEY NICOLE PRATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
202 HILLSIDE DR, KENNEDALE, TX 76060-2601
(817) 271-7350
Mailing address
202 HILLSIDE DR, KENNEDALE, TX 76060-2601
(817) 271-7350
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215284
TX
Other
Enumeration date
02/13/2019
Last updated
02/13/2019
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