Provider Demographics
NPI:1770700478
Name:DUGGAN, ELIZABETH ASHLEY (OTR)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:ASHLEY
Last Name:DUGGAN
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5765 PRESTON HAVEN DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-2661
Mailing Address - Country:US
Mailing Address - Phone:972-808-2342
Mailing Address - Fax:866-405-1023
Practice Address - Street 1:5720 LYNDON B JOHNSON FWY STE 550
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75240-6366
Practice Address - Country:US
Practice Address - Phone:972-808-2342
Practice Address - Fax:866-405-1023
Is Sole Proprietor?:No
Enumeration Date:2007-04-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX103601225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist