Individual
DOLORES JOY GROVES-MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
36065 SANTA FE AVE, FORT CAVAZOS, TX 76544-5060
(254) 288-8000
Mailing address
36065 SANTA FE AVE, FORT CAVAZOS, TX 76544-5060
Taxonomy
Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
113557
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113557
TX LICENSE
TX
Enumeration date
05/10/2011
Last updated
05/13/2024
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