Individual
MANISHA DESAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
6507 LUPTON DR, DALLAS, TX 75225-2324
(919) 812-7411
Mailing address
6507 LUPTON DR, DALLAS, TX 75225-2324
(919) 812-7411
Taxonomy
Speciality
Code
Description
License number
State
225XE1200X
Ergonomics Occupational Therapist
Primary
103541
TX
Other
Enumeration date
10/08/2019
Last updated
10/08/2019
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