MRS. Jimma Lanelle Lake, LPTA
NPI #1992900336 in Waxahachie, Texas
Provider Information
- NPI Number
- 1992900336
- Entity Type
- Individual
- Name
- MRS. Jimma Lanelle Lake, LPTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- LPTA
- Enumeration Date
- Jun 17, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 112 VINTAGE DR
- City
- Waxahachie
- State
- Texas
- ZIP Code
- 75165-6510
- Phone
- (214) 632-9075
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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