Individual
LEWIS ALTON RAGSDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
1400 MEDICAL CENTER DR, ENNIS, TX 75119-1587
(972) 875-4800
Mailing address
100 WHIRLAWAY ST, WAXAHACHIE, TX 75165-1221
(469) 951-9386
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
212395
TX
Other
Enumeration date
07/09/2020
Last updated
07/09/2020
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