Individual
BEVERLY JEAN LOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6621 FANNIN ST, HOUSTON, TX 77030-2399
(832) 826-6116
Mailing address
6621 FANNIN ST, HOUSTON, TX 77030-2399
(832) 826-6116
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
1019123
TX
Other
Enumeration date
11/05/2018
Last updated
11/05/2018
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