Individual
KAMIE LANCASTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2550 BOYD AVE, FORT WORTH, TX 76109-1021
(817) 480-3798
Mailing address
717 REMUDA DR, FORT WORTH, TX 76108-9580
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
113934
TX
Other
Enumeration date
11/05/2020
Last updated
11/05/2020
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