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Individual

LORI MUNGIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
115 E TEXAS BLVD, DALHART, TX 79022-4319
(806) 244-0015
(806) 244-0017
Mailing address
701 SAGEBRUSH, DALHART, TX 79022
(806) 433-8453

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
210841
TX

Other

Enumeration date
06/07/2011
Last updated
06/07/2011
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