Individual
LISA NICOLE DABNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2555 95TH ST, APT 2010, PORT ARTHUR, TX 77640-1552
(770) 866-1246
Mailing address
2555 95TH ST, APT 2010, PORT ARTHUR, TX 77640-1552
(770) 866-1246
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
213890
TX
224Z00000X
Occupational Therapy Assistant
OTA001992
GA
Other
Enumeration date
09/20/2016
Last updated
09/20/2016
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