Individual
JUSTINE FAGHIHIFAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2201 N CENTRAL EXPY STE 110, RICHARDSON, TX 75080-2718
(214) 265-1819
Mailing address
1741 AUBURN DR, CARROLLTON, TX 75007-1450
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
110252
TX
Other
Enumeration date
12/28/2006
Last updated
07/08/2007
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