Individual
DIANA PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
425 ALABAMA AVE, FORT WORTH, TX 76104-1022
(817) 820-3400
Mailing address
4812 BARNETT ST, FORT WORTH, TX 76103-2002
(857) 891-5061
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
114327
TX
Other
Enumeration date
01/11/2024
Last updated
01/11/2024
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