Individual
DENICA TANYA PALOMO LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3457 ROSEWOOD LN, SACHSE, TX 75048-4333
(217) 827-7470
Mailing address
3457 ROSEWOOD LN, SACHSE, TX 75048-4333
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
122416
TX
Other
Enumeration date
11/19/2024
Last updated
05/01/2025
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