Individual
MICHELLE HARRISON WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LOTA
Contact information
Practice address
3002 W 2ND AVE, CORSICANA, TX 75110-2408
(903) 641-0545
Mailing address
618 N 26TH ST, CORSICANA, TX 75110-4120
(903) 872-0372
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
208191
TX
Other
Enumeration date
06/13/2007
Last updated
07/08/2007
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