Lake Cities Elite Performance Therapy

NPI #1437441854 in Hickory Creek, Texas

Provider Information

NPI Number: 1437441854
Entity Type: Organization
Organization Name: Lake Cities Elite Performance Therapy
Primary Specialty: Occupational Therapist
Enumeration Date: May 3, 2011
Last Updated: May 3, 2011

Practice Location

Address: 109 RED BLUFF DR
City: Hickory Creek
State: Texas
ZIP Code: 75065-3618
Phone: (855) 204-4540

Authorized Official

Name: ANA HERNANDO, OTR, MOT
Title: OWNER/THERAPIST IN CHARGE
Phone: (855) 204-4540

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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