Sirena Wynn, OTR/L
Occupational Therapist in Dallas, TX. Individual provider (NPI-1).
NPI number1316619984
StatusActive
Last updated in NPPESOct 1, 2021
Details
- NPI
- 1316619984
- Entity type
- Individual (NPI-1)
- Name
- Sirena Wynn
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 1, 2021
- Certification date
- Oct 1, 2021
- Last updated
- Oct 1, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 4278 | AL | Yes |
Practice location
8840 Cypress Waters Blvd Ste 300Dallas, TX 75019
Phone 214-347-0286
Mailing address
8840 Cypress Waters Blvd Ste 300Coppell, TX 75019-4630
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