Individual
LISA DARLENE CAVANAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
9 MEDICAL DR, AMARILLO, TX 79106-4137
(806) 352-2731
Mailing address
9 MEDICAL DR, AMARILLO, TX 79106-4137
(806) 352-2731
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
210307
TX
Other
Enumeration date
12/07/2018
Last updated
12/07/2018
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