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Individual

MRS. LISA MARIE FORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR, CEAS

Contact information

Practice address
1000 W CROSBY RD STE 136, CARROLLTON, TX 75006-6904
(817) 658-8808
Mailing address
4001 TARA DR, COLLEYVILLE, TX 76034-4106
(178) 658-8808

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
106656
TX

Other

Enumeration date
03/19/2007
Last updated
01/24/2019
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