SearchTexas2255A2300X

Lori Mahan, ATC,LAT

NPI 1306299615 · on the registry since 2016 · sole proprietor

Practice

Address
722 Columbia Ln
Deer Park, TX 77536
Phone
(832) 256-4621

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-07-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas