Individual
SERGEY PLOSHCHADIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8301 N CENTRAL EXPY, DALLAS, TX 75225-4409
(865) 392-2811
Mailing address
2207 NUGENT DR, MANSFIELD, TX 76063-5127
(512) 909-8324
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
217874
TX
Other
Enumeration date
03/06/2025
Last updated
03/06/2025
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