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Individual

TERESA BRUMBAUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
404 RACQUET CLUB BLVD, BEDFORD, TX 76022-6408
(817) 905-2563
Mailing address
404 RACQUET CLUB BLVD, BEDFORD, TX 76022-6408
(817) 905-2563

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
110601
TX
225XP0019X
Physical Rehabilitation Occupational Therapist
110601
TX
225XP0200X
Pediatric Occupational Therapist
Primary
110601
TX

Other

Enumeration date
03/13/2017
Last updated
03/13/2017
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