Nicole Ann Davault OTR

NPI 1396879722 - Occupational Therapist - 225X00000X

NPI Details
NPI 1396879722
Gender Female
Enumeration Date 03/15/2007
Last Updated 07/22/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
6800 TELEPHONE RD
LAKE WORTH TX, 76135-2856, US
Phone (817) 306-4200
Fax
Business Location
413 ARBOR LAWN DR
BURLESON TX, 76028-4063, US
Phone (817) 295-2258
Fax
Toxanomy
Taxonomy Code 225X00000X
License State Texas
License Number 110168
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According to our database, Nicole Ann Davault OTR NPI is 1396879722, taxonomy code is 225X00000X and license number is 110168, license state is located at Texas. Nicole Ann Davault OTR physically located at 6800 Telephone Rd, Lake Worth TX, 76135-2856. NPI Number Nicole Ann Davault OTR has the Individual type.

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1396879722 NPI number is provided on an as is basis without warranty of any kind. 1396879722 is maintained by the National Plan & Provider Enumeration System. The contents of Nicole Ann Davault OTR are for informational purposes only.