NPI 1235695123

Coventry Dittman, RBT

Practitioner Other Technician Arlington, TX

Practice location

Address: 1012 Commercial Blvd N, Arlington, TX 76001-7119
Phone: (817) 557-8040
Mailing address: 16800 Dallas Pkwy STE 200, Dallas, TX 75248-1961

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X Licence RBT-18-56509

Other Technician, Other providers in Texas →

Registry record

NPI: 1235695123
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Feb 2019
Record last updated: 15 Feb 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.