# LYMPHEDEMA THERAPY SOURCE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083024533
- **Authorized official:** REBECCA SUMMERS (OWNER/OT, CLT-LANA)
- **Authorized official phone:** (214) 422-8265

## Contact information

- **Practice address:** 309 W ELDORADO PKWY STE 108, LITTLE ELM, TX 75068-5382
- **Practice address phone:** (214) 422-8265
- **Mailing address:** 309 W ELDORADO PKWY STE 108, LITTLE ELM, TX 75068-5382
- **Mailing address phone:** (214) 422-8265

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 05/06/2014
- **Last updated:** 04/19/2024