Individual
LEA WINGATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12941 NORTH FWY STE 401, HOUSTON, TX 77060-1240
(817) 292-8787
Mailing address
12941 NORTH FWY STE 401, HOUSTON, TX 77060-1240
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
208466
TX
Other
Enumeration date
05/27/2014
Last updated
05/27/2014
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