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Individual

LINH PHUONG LE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1707 FOUNTAINVIEW DR, MANSFIELD, TX 76063-5091
(817) 752-9662
Mailing address
5704 TRINITY LN, HALTOM CITY, TX 76137-5547
(682) 367-0249

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
120695
TX

Other

Enumeration date
02/21/2020
Last updated
02/21/2020
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