Liberty Therapy, P.a.

NPI #1205166063 in Ennis, Texas

Provider Information

NPI Number: 1205166063
Entity Type: Organization
Organization Name: Liberty Therapy, P.a.
Primary Specialty: Occupational Therapist
Enumeration Date: Dec 30, 2009
Last Updated: Dec 30, 2009

Practice Location

Address: 107 NW MAIN ST
City: Ennis
State: Texas
ZIP Code: 75119-4053
Phone: (469) 641-0004

Authorized Official

Name: MRS. DALAINE BARRON FLETCHER, OTR
Title: PROVIDER/FACILITATOR
Phone: (469) 641-0004

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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