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Individual
KORY SHAWN LANCASTER
Active
Individual
KORY SHAWN LANCASTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1308098
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1308098
TEXAS BOARD OF PT EXAMINERS
TX
Enumeration date
08/10/2018
Last updated
11/08/2022
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