Individual
MRS. TAJUANA LATRICE WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3007 CLEMENTE DR, GRAND PRAIRIE, TX 75052-8736
(214) 244-5332
Mailing address
3007 CLEMENTE DR, GRAND PRAIRIE, TX 75052-8736
(214) 244-5332
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215485
TX
Other
Enumeration date
03/01/2019
Last updated
03/01/2019
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