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Individual

LORI S. MCWILLIAMS GERSBACH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MOT, OTR/L, CHT

Contact information

Practice address
3416 W WALL ST, SUITE 105, MIDLAND, TX 79701-6710
(432) 789-1055
(432) 689-0907
Mailing address
PO BOX 10641, MIDLAND, TX 79702-7641
(432) 935-3479

Taxonomy

Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
107357
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1011842
NAT'L CERTIFICATION #
01
107357
STATE LICENSE NUMBER
TX
Enumeration date
08/22/2006
Last updated
08/10/2007
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