DR. Lyddia Revell, DSC
NPI #1275982092 in Jbsa Ft Sam Houston, Texas
Provider Information
- NPI Number
- 1275982092
- Entity Type
- Individual
- Name
- DR. Lyddia Revell, DSC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapist
- Credential
- DSC
- Enumeration Date
- Jun 13, 2016
- Last Updated
- May 1, 2023
Practice Location
- Address
- 3551 ROGER BROOKE DR
- State
- Texas
- ZIP Code
- 78234
- Phone
- (262) 501-9788
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
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