Individual
ANDREA PREMPEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
424 S ADAMS ST, FORT WORTH, TX 76104-1003
(817) 335-5781
Mailing address
424 S ADAMS ST, FORT WORTH, TX 76104-1003
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
118491
TX
Other
Enumeration date
09/13/2018
Last updated
09/13/2018
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