Individual
LYDIA ABIGAEL INDIMULI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
10818 BURKES GARDEN DR, HOUSTON, TX 77065-4242
(832) 419-4955
(832) 688-8832
Mailing address
10818 BURKES GARDEN DR, HOUSTON, TX 77065-4242
(832) 419-4955
(832) 688-8832
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
112683
TX
Other
Enumeration date
01/17/2018
Last updated
01/17/2018
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