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Search › Texas › 225100000X

Lisa Provence, DPT

NPI 1659680783 · on the registry since 2010

Practice

Address
1400 Main Street
Amherst, TX 79312
Phone
(806) 246-3483
Fax
(806) 246-3483
Organisation at this address
Kelly G Pratt
Jan Dee Management Services Inc
Jan Dee Management Services, Inc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2010-10-07

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