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Contact Information

COURTNEY L PRUETT, OT
4309 OLD JACKSBORO HWY, ST 101
WICHITA FALLS, TX76302
 Phone: 940-386-1004
 Fax: 940-386-9944
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

225XP0200X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for COURTNEY L PRUETT · (Female)

NPI # 1992301279
Status Active
Credentials OT (Occupational Therapist)
Entity Individual
Enumeration date 12/10/2020
Last updated 12/10/2020 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • TX License # 121325
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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