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Ellanie Berba, OTR

Occupational Therapist in McKinney, TX. Individual provider (NPI-1).

NPI number1295941102
StatusActive
Last updated in NPPESOct 8, 2015

Details

NPI
1295941102
Entity type
Individual (NPI-1)
Name
Ellanie Berba
Credential
OTR
Sex
Female
Sole proprietor
No
Enumeration date
May 15, 2007
Last updated
Oct 8, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist111554TXYes
225X00000X Occupational Therapist2004023171MO

Practice location

2580 Collin McKinney Pkwy
Apt 2526
McKinney, TX 75070-5135

Phone 573-777-0218

Mailing address

2580 Collin McKinney Pkwy
Apt 2526
McKinney, TX 75070-5135

Phone 573-777-0218

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