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Individual

HEATHER LIGHTHART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
2011 BROADWAY ST STE 130, PEARLAND, TX 77581-5945
(817) 345-7530
Mailing address
PO BOX 308, MIDLOTHIAN, TX 76065-0308
(818) 653-3304

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
121693
TX

Other

Enumeration date
11/11/2021
Last updated
11/11/2021
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