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NPI Code Detail

MEDICARE: CATHY LUBY OTR

MEDICARE: CATHY LUBY 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 Therapist000352TX

General Provider Information

NPI Number : 1518166206
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHY LUBY OTR
Provider Business Mailing Address
First Line : 2307 EAGLE PARK LN
Second Line :
City : ARLINGTON
State : TX
Zip : 76011-2362
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 230 S CLARK RD
Second Line :
City : CEDAR HILL
State : TX
Zip : 75104-2750
Country : US
Telephone Number : 972-293-7318
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2007
Last Update Date : 07/13/2007

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Directions to “ CATHY LUBY OTR” Practice Location

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