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Individual

LIZA ABIGAIL COPUYOC KHOU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
1652 KELLER PKWY STE 100, KELLER, TX 76248-3876
(817) 562-3111
Mailing address
1652 KELLER PKWY STE 100, KELLER, TX 76248-3876
(817) 562-3111

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
124576
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
124576
ECPTOTE
TX
Enumeration date
11/24/2020
Last updated
05/01/2024
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