Individual
CASSIE FULLINGIM PATZIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
6110 NASHVILLE AVE, LUBBOCK, TX 79413-5216
(806) 792-0604
(806) 792-0604
Mailing address
5407 4TH ST, SUITE F, LUBBOCK, TX 79416-4348
(806) 791-3399
(806) 791-3934
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
112546
TX
261QM1300X
Multi-Specialty Clinic/Center
Primary
112546
TX
Other
Enumeration date
03/10/2008
Last updated
02/28/2014
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