Individual
JULIE HAVERDINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LOT
Contact information
Practice address
5201 INDIANA AVE, #200 CENTRAL, LUBBOCK, TX 79413-4200
(806) 791-2100
(806) 791-2105
Mailing address
PO BOX 50805, DENTON, TX 76206-0805
(940) 380-0311
(940) 380-9605
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
106995
TX
Other
Enumeration date
02/09/2015
Last updated
02/09/2015
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