Individual
KIM RAYETTA LAMOTTHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4500 S. LANCASTER RD., DALLAS, TX 75216
(241) 857-0427
(214) 857-1719
Mailing address
1801 SEMINOLE TRAIL, MESQUITE, TX 75149
(972) 222-8837
(214) 375-8884
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
109432
TX
Other
Enumeration date
09/19/2006
Last updated
07/08/2007
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