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Individual

KELLY NICOLE LUNSFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPTA

Contact information

Practice address
7633 BELLFORT ST, HOUSTON, TX 77061-1703
(713) 644-2102
Mailing address
1406 COPPER RIDGE LN, PEARLAND, TX 77581-5243
(281) 380-4630

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2103621
TX

Other

Enumeration date
09/06/2018
Last updated
09/06/2018
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