Provider Demographics
NPI:1689744641
Name:SAAB, EMILIE RATCLIFF
Entity Type:Individual
Prefix:
First Name:EMILIE
Middle Name:RATCLIFF
Last Name:SAAB
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1002 CENTURY PARK DR
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75040-3223
Mailing Address - Country:US
Mailing Address - Phone:214-695-5185
Mailing Address - Fax:972-414-7840
Practice Address - Street 1:1002 CENTURY PARK DR
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75040-3223
Practice Address - Country:US
Practice Address - Phone:214-695-5185
Practice Address - Fax:972-414-7840
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101368225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist