Individual
MR. CALVIN BRENT MORELOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
1107 S CLAY ST, ENNIS, TX 75119-6414
(972) 878-5888
Mailing address
4514 FM 637, CORSICANA, TX 75109-9521
(903) 872-3193
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
209897
TX
Other
Enumeration date
09/14/2007
Last updated
09/14/2007
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