Individual
CYNTIA DIANE PARROTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6301 GASTON AVE, DALLAS, TX 75214-3922
(214) 295-5374
Mailing address
7151 GASTON AVE APT 1108, DALLAS, TX 75214-4159
(214) 335-8697
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
208792
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123456
—
TX
Enumeration date
01/12/2018
Last updated
01/12/2018
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