Individual
LYNN WATTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6301 GASTON AVE, DALLAS, TX 75214-3922
(214) 546-9425
Mailing address
1821 MORRISH LN, HEATH, TX 75032-5909
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
110685
TX
Other
Enumeration date
11/07/2017
Last updated
11/07/2017
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