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Individual

HAMUN SUWANNUCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
1112 E COPELAND RD STE 300, ARLINGTON, TX 76011-4910
(817) 505-2575
Mailing address
7865 FIREFALL WAY APT 3510, DALLAS, TX 75230-7359
(469) 939-2934

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
122732
TX

Other

Enumeration date
06/14/2022
Last updated
06/14/2022
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