Individual
MRS. LORI ANN DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3300 W 2ND AVE, CORSICANA, TX 75110-2412
(903) 874-0270
Mailing address
3300 W 2ND AVE, CORSICANA, TX 75110-2412
(903) 874-0270
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
210641
TX
Other
Enumeration date
11/09/2009
Last updated
11/09/2009
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