Individual
AMY NICHELLE SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
2401 GATEWAY DR STE 109, IRVING, TX 75063-2743
(214) 591-0061
Mailing address
1416 BETTE DR, MESQUITE, TX 75149-6206
(325) 214-0716
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
114116
TX
Other
Enumeration date
11/02/2012
Last updated
03/17/2018
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