Individual
LUKE WEEMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTA
Contact information
Practice address
3414 GOLDEN RD, TYLER, TX 75701-8336
(903) 939-7500
Mailing address
4436 FM 177 E, TROUP, TX 75789-8530
(903) 969-8028
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
216872
TX
Other
Enumeration date
06/23/2021
Last updated
06/23/2021
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