Individual
KELSIE RENEA LUMMUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 COUNTY ROAD 701, TEAGUE, TX 75860-3013
(254) 723-7136
Mailing address
501 COUNTY ROAD 701, TEAGUE, TX 75860-3013
(254) 723-7136
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215431
TX
Other
Enumeration date
06/09/2023
Last updated
06/09/2023
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