Individual
KIMBERLY LUSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8584 ARLEDGE RD, ORANGE, TX 77632-5730
(310) 780-0614
Mailing address
8584 ARLEDGE RD, ORANGE, TX 77632-5730
(310) 780-0614
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
01/05/2015
Last updated
01/05/2015
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