Individual
ASHTAN MARUCCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2535 LONE STAR DR, DALLAS, TX 75212-6313
(214) 467-9787
Mailing address
7400 N LAMAR BLVD APT 1112, AUSTIN, TX 78752-2470
(217) 549-8297
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
121048
TX
Other
Enumeration date
09/18/2020
Last updated
09/18/2020
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