Individual
LAURA GOVEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
6220 TRAIL LAKE DR, FORT WORTH, TX 76133-3406
(817) 446-5000
(817) 446-5000
Mailing address
6220 TRAIL LAKE DR, FORT WORTH, TX 76133-3406
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
100596
TX
Other
Enumeration date
05/03/2012
Last updated
05/03/2012
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