Individual
KIMBERLY LAUTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1901 MEDI PARK DR STE 2048, AMARILLO, TX 79106-2109
(806) 353-2101
Mailing address
305 NE LOOP 820, BUSINESS TOWER 1, SUITE 200, HURST, TX 76053-7209
(817) 292-8787
(817) 789-6849
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
0131001437
VA
224Z00000X
Occupational Therapy Assistant
Primary
213248
TX
224Z00000X
Occupational Therapy Assistant
OTA14420
FL
Other
Enumeration date
07/01/2016
Last updated
07/01/2016
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