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Individual

MRS. KATHY MARIA LUSTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
9441 LBJ FWY STE 101, DALLAS, TX 75243-4566
(214) 575-9820
Mailing address
3843 BELTON DR, DALLAS, TX 75287-4803
(972) 306-9142

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
101780
TX

Other

Enumeration date
03/19/2009
Last updated
03/19/2009
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