Individual
REBEKAH ANN-LOUISE PRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
850 12TH AVE, FORT WORTH, TX 76104-2516
(817) 882-8289
Mailing address
500 THROCKMORTON ST APT 1707, FORT WORTH, TX 76102-3804
(616) 308-7060
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
211612
TX
Other
Enumeration date
05/02/2016
Last updated
05/02/2016
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