Individual
LAUREN MICHELLE ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
5100 KELL BLVD, WICHITA FALLS, TX 76310-1746
(940) 691-8181
Mailing address
15746 FM 1954, WICHITA FALLS, TX 76310-0374
(940) 839-8331
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
113115
TX
Other
Enumeration date
04/28/2020
Last updated
04/30/2020
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