Individual
CAROL LYNN TOBLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1203 MIMOSA ST, LUFKIN, TX 75904-4625
(936) 238-5534
Mailing address
1203 MIMOSA ST, LUFKIN, TX 75904-4625
(936) 238-5534
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
201104
TX
Other
Enumeration date
02/22/2018
Last updated
02/22/2018
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