Healthcare Provider Details

I. General information

NPI: 1972412682
Provider Name (Legal Business Name): TRICIA JAINEE DALIDA OTD, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2026
Last Update Date: 09/07/2026
Certification Date: 09/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4201 SPRING VALLEY RD STE 600
DALLAS TX
75244-1209
US

IV. Provider business mailing address

4201 SPRING VALLEY RD STE 600
DALLAS TX
75244-1209
US

V. Phone/Fax

Practice location:
  • Phone: 866-919-3240
  • Fax:
Mailing address:
  • Phone: 866-919-3240
  • Fax: 877-300-7394

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: