DAWN DENISE EZELLE

FORT WORTH, TX
NPI1457570053
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: TX  209409)
Enumeration Date2007-04-24
Last Update Date2007-07-08
Business Address
-- DAWN DENISE EZELLE COTA
3400 MARINE DRIVE
FORT WORTH, TX 76135
Phone number: 817-237-7231
Mailing Address
-- DAWN DENISE EZELLE COTA
1200 DALLAS DR 1314
DENTON, TX 76205-5151
Phone number: 940-206-6222