MEDICARE: LABRINA M MCNARY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	224Z00000X	Occupational Therapy Assistant	211186	TX

General Provider Information

NPI Number	:	1548527195
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LABRINA M MCNARY

Provider Business Mailing Address
First Line	:	3912 CEDAR FALLS DR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76244-6791
Country	:	US
Telephone Number	:	469-434-4040
Fax Number	:

Provider Business Practice Location Address
First Line	:	3912 CEDAR FALLS DR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76244-6791
Country	:	US
Telephone Number	:	469-434-4040
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/20/2012
Last Update Date	:	09/16/2024

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