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NPI Code Detail

MEDICARE: KATHERINE LUNDGREN OTR

MEDICARE: KATHERINE LUNDGREN OTR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist108093TX
2225XP0200XPediatric Occupational Therapist108093TX
3224ZF0002XFeeding, Eating & Swallowing Occupational Therapy Assistant108093TX

General Provider Information

NPI Number : 1245392372
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE LUNDGREN OTR
Provider Business Mailing Address
First Line : 900 JUNCTION DR
Second Line :
City : ALLEN
State : TX
Zip : 75013-5290
Country : US
Telephone Number : 469-675-3153
Fax Number : 469-675-3154
Provider Business Practice Location Address
First Line : 900 JUNCTION DR
Second Line :
City : ALLEN
State : TX
Zip : 75013-5290
Country : US
Telephone Number : 469-675-3153
Fax Number : 469-675-3154
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2006
Last Update Date : 07/28/2020

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1861866956 — MEENA RAMDAS KARTHIK MSPT,C/NDT
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Directions to “ KATHERINE LUNDGREN OTR” Practice Location

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