Individual
MARY KATHERINE VILLARREAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR, OTD, BCN
Contact information
Practice address
3801 WILLIAM D TATE AVE STE 400, GRAPEVINE, TX 76051-8755
(817) 416-9797
(817) 416-9714
Mailing address
3801 WILLIAM D TATE AVE STE 400, GRAPEVINE, TX 76051-8755
(817) 416-9797
(817) 416-9714
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
105728
TX
Other
Enumeration date
02/16/2024
Last updated
02/16/2024
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