Individual
ELIZABTH SAGE GUIDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
6030 VANDERBILT AVE, DALLAS, TX 75206-6138
(214) 789-7353
(214) 245-5217
Mailing address
6030 VANDERBILT AVE, DALLAS, TX 75206-6138
(214) 789-7353
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
111284
TX
Other
Enumeration date
05/27/2009
Last updated
05/27/2009
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