Most Relevant Information
Provider Data
| NPI Number: | 1003450768 |
| Provider Name: | LADONNA SORENSON |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | 212537 |
Most Important Dates
| Enumeration Date: | 11/05/2019 |
| Last Updated: | 11/05/2019 |
Provider Practice Location
1321 RIO GRANDE AVE
TEXARKANA
TX
755033523
Practice Location Phone/Fax
| Phone: | 9032933434 |
| Fax: |
Provider Mailing Location
1321 RIO GRANDE AVE
TEXARKANA
TX
755033523
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |