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Individual

MRS. EKTA PATHARE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR,CHT

Contact information

Practice address
841 CRESTVIEW DR, COPPELL, TX 75019-6932
(972) 816-7311
Mailing address
841 CRESTVIEW DR, COPPELL, TX 75019-6932
(972) 816-7311

Taxonomy

Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
111064
TX

Other

Enumeration date
04/15/2011
Last updated
01/20/2019
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