Diedra Bacino, OTR

NPI #1326197187 in Mckinney, Texas

Provider Information

NPI Number
1326197187
Entity Type
Individual
Name
Diedra Bacino, OTR
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapist
Credential
OTR
Enumeration Date
Jan 10, 2007
Last Updated
Nov 17, 2010

Practice Location

Address
7701 COPPER MOUNTAIN LN
State
Texas
ZIP Code
75070-2686
Phone
(972) 795-1021

Specialties & Taxonomy Codes

Specialty
Occupational Therapist

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