Individual
CYNTHIA CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
601 S MAIN ST, KELLER, TX 76248-7029
(817) 741-9444
Mailing address
PO BOX 207, PARADISE, TX 76073-0207
(817) 658-6877
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
103364
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
218545601
—
TX
01
—
859T64
BCBS
TX
Enumeration date
02/28/2011
Last updated
07/21/2022
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