Individual
LEAH L DEGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
305 5TH ST, FARWELL, TX 79325-5615
(806) 481-9027
Mailing address
3720 101ST ST, LUBBOCK, TX 79423-5117
(806) 445-0083
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
109389
TX
Other
Enumeration date
06/10/2011
Last updated
06/10/2011
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