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Individual

LISA NGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
2020 E HEBRON PKWY STE 120, CARROLLTON, TX 75007-1609
(469) 892-7500
Mailing address
3111 N HOUSTON ST APT 2207, DALLAS, TX 75219-7886
(469) 588-0648

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
120709
TX

Other

Enumeration date
10/04/2021
Last updated
10/04/2021
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