Organization
LIFESTYLE TRANSITIONS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA MICHELLE HOLLOWAY OT (OWNER)
(817) 891-3255
Entity
Organization
Contact information
Practice address
9328 WOOD DUCK DR, FORT WORTH, TX 76118-7784
(817) 891-3255
(682) 253-2366
Mailing address
9328 WOOD DUCK DR, FORT WORTH, TX 76118-7784
(682) 253-2366
(817) 537-2510
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
11/11/2020
Last updated
03/17/2024
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