Individual
BRANDY DENISE GAGNARD MARCUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR
Contact information
Practice address
2201 N CENTRAL EXPY STE 110, RICHARDSON, TX 75080-2718
(214) 265-1819
Mailing address
1440 ACADIA DR, ALLEN, TX 75002-3695
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
110500
TX
Other
Enumeration date
01/22/2007
Last updated
07/08/2007
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