Provider Demographics
NPI:1356839856
Name:FRENCH, DOROTHY K (COTA)
Entity Type:Individual
Prefix:
First Name:DOROTHY
Middle Name:K
Last Name:FRENCH
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:KATHI
Other - Middle Name:
Other - Last Name:FRENCH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:4113 STARBOARD TRL
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75088-5345
Mailing Address - Country:US
Mailing Address - Phone:214-557-4663
Mailing Address - Fax:
Practice Address - Street 1:930 W CENTERVILLE RD
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75041-5823
Practice Address - Country:US
Practice Address - Phone:972-303-7021
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-30
Last Update Date:2018-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX215093224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy AssistantGroup - Single Specialty