Organization
LILDUTCHESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASIE WARD (OWNER)
(254) 230-7991
Entity
Organization
Contact information
Practice address
4311 S 31ST ST STE 105, TEMPLE, TX 76502-3347
(254) 536-5365
Mailing address
4311 S 31ST ST STE 105, TEMPLE, TX 76502-3347
(254) 230-7991
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
04/22/2019
Last updated
09/09/2023
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