Individual
LISA WALLNEY TILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5301 UNIVERSITY AVE, LUBBOCK, TX 79413-4940
(806) 793-5947
(806) 793-4544
Mailing address
5301 UNIVERSITY AVE, LUBBOCK, TX 79413-4940
(806) 793-5947
(806) 793-4544
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
107906
TX
Other
Enumeration date
01/08/2015
Last updated
01/08/2015
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