Individual
THOMAS ANTHONY HARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
2112 FORUM PKWY, BEDFORD, TX 76021-6028
(817) 799-4600
Mailing address
1651 TURNBERRY DR, PROSPER, TX 75078-7111
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
216518
TX
Other
Enumeration date
12/09/2020
Last updated
12/09/2020
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