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NPI Code Detail

MEDICARE: MR. DAVID RICHARD WORLEY OTR

MEDICARE:  MR. DAVID RICHARD WORLEY  OTR
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
1225X00000XOccupational Therapist107478TX

General Provider Information

NPI Number : 1801346903
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DAVID RICHARD WORLEY OTR
Provider Business Mailing Address
First Line : 1033 RICHMOND LN
Second Line :
City : FORNEY
State : TX
Zip : 75126-6518
Country : US
Telephone Number : 469-474-1759
Fax Number :
Provider Business Practice Location Address
First Line : 1033 RICHMOND LN
Second Line :
City : FORNEY
State : TX
Zip : 75126-6518
Country : US
Telephone Number : 469-474-1759
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2016
Last Update Date : 10/12/2016

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Directions to “ MR. DAVID RICHARD WORLEY OTR” Practice Location

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