Individual
KATELYN REBECCA WILLINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
5225 S LOOP 289 STE 210, LUBBOCK, TX 79424-1319
(806) 780-4180
Mailing address
420 HYDEN AVE, LUBBOCK, TX 79416-4148
(325) 212-9995
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
120544
TX
Other
Enumeration date
01/27/2020
Last updated
01/27/2020
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