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Individual

LIZY JACOB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTA

Contact information

Practice address
7210 NORTHLINE DR, HOUSTON, TX 77076-1517
(713) 699-2882
Mailing address
7210 NORTHLINE DR, HOUSTON, TX 77076-1517

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
207834
TX

Other

Enumeration date
08/15/2018
Last updated
08/15/2018
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