Latisha Stovall

NPI #1518556851 in Bushland, Texas

Provider Information

NPI Number: 1518556851
Entity Type: Individual
Name: Latisha Stovall
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Enumeration Date: Jan 12, 2021
Last Updated: Jan 21, 2021

Practice Location

Address: 411 N GRAYSTONE LN
City: Bushland
State: Texas
ZIP Code: 79124-1539
Phone: (806) 787-8610

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist - Physical Rehabilitation — Physical Rehabilitation	225XP0019X
Occupational Therapist	225X00000X	Primary

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