Individual
MICHELE DEFLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR, CHT
Contact information
Practice address
6080 SOUTHWEST BLVD, BENBROOK, TX 76109-3912
(817) 731-9331
(817) 731-9882
Mailing address
6080 SOUTHWEST BLVD, BENBROOK, TX 76109-3912
(817) 731-9331
(817) 731-9882
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
106952
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1021100149
HAND THERAPY CERTIFICATE
TX
01
—
1256670001
CIGNA DME PROVIDER
TX
01
—
752570786
FEIN
TX
01
—
8T6760
BCBS TX
—
Enumeration date
07/04/2006
Last updated
02/17/2009
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