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Individual

LISA KUCHLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
300 MEDICAL PKWY, LAKEWAY, TX 78738-5627
(970) 460-0538
Mailing address
7817 LYNCHBURG DR, AUSTIN, TX 78738-7649
(970) 460-0538

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
119618
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
119618
TEXAS BOARD OF OCCUPATIONAL THERAPY EXAMINERS
TX
Enumeration date
04/30/2022
Last updated
04/30/2022
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