Individual
ELLERY ANNE DENTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 JUNCTION DR, ALLEN, TX 75013-5290
(469) 675-3153
Mailing address
1224 SARITA DR, ALLEN, TX 75013-8544
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
121272
TX
225XP0200X
Pediatric Occupational Therapist
Primary
121272
TX
Other
Enumeration date
10/26/2020
Last updated
04/05/2022
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