Individual
MS. LYLA CHUSTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
911 N MOROCCO AVE, DALLAS, TX 75211-1249
(972) 794-4569
(972) 794-4573
Mailing address
912 S ERVAY ST, THIRD FLOOR ROOM 307, DALLAS, TX 75201-6420
(972) 794-4569
(972) 794-4573
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
100328
TX
225XP0200X
Pediatric Occupational Therapist
100328
TX
Other
Enumeration date
01/29/2007
Last updated
12/07/2007
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