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Contact Information

MO DASABE, COTA
658 SW 3RD ST
GRAND PRAIRIE, TX75051-1805
 Phone: 972-264-2464
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Environmental Modification

224ZE0001X
Indicates primary specialty

NPI Profile & details for MO DASABE · (Male)

NPI Number 1225519929
Status Active
Credentials COTA (Certified Occupational Therapy Assistant)
Entity Individual
Enumeration date 08/22/2018
Last updated 08/22/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • TX License # 208620
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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