Individual
DOREEN EDINE NOISETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
6301 GASTON AVE STE 750, DALLAS, TX 75214-3922
(214) 295-5374
Mailing address
6301 GASTON AVE STE 750, DALLAS, TX 75214-3922
(774) 253-3487
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
214850
TX
Other
Enumeration date
04/17/2015
Last updated
12/25/2017
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