Ezelle, Dawn Denise

Ezelle, Dawn Denise is an sole proprietor health care provider with primary practice located at 3400 Marine Drive , Fort Worth TX 76135. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Ezelle, Dawn Denise can be contacted via phone (817) 237-7231.

Contact Information

Primary practice address
3400 Marine Drive Fort Worth TX 76135
Phone: (817) 237-7231
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X 209409 Texas

Profile Details

NPI number 1457570053
LBN Legal business name Ezelle, Dawn Denise
Credentials Certified Occupational Therapy Assistant (COTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 24th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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