Individual
TANESHA DUHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3665 S STAPLES ST, CORPUS CHRISTI, TX 78411-2457
(404) 514-9898
Mailing address
3665 S STAPLES ST, CORPUS CHRISTI, TX 78411-2457
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA001375
GA
Other
Enumeration date
08/15/2011
Last updated
08/15/2011
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