Individual
EMILY ANN SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
915 DESCO LN APT 6101, GRAND PRAIRIE, TX 75051-1562
(573) 760-3111
Mailing address
915 DESCO LN APT 6101, GRAND PRAIRIE, TX 75051-1562
(573) 760-3111
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
06/08/2017
Last updated
06/08/2017
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