Individual
KATIE MCCORKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5550 HARVEST HILL RD, DALLAS, TX 75230-1684
(972) 366-7374
Mailing address
4501 N GARLAND AVE APT 6213, GARLAND, TX 75040-8503
(903) 277-1060
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
217711
TX
Other
Enumeration date
12/09/2022
Last updated
12/09/2022
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