Whalio Doctors

NPI 1114407038

Lance David Knox, COTA

Practitioner Occupational Therapy Assistant Glen Rose, TX

Practice location

Address
1019 Holden St, Glen Rose, TX 76043-4937
Phone
(254) 897-1429

Registered specialties

Occupational Therapy Assistant Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 211579 (TX)

Registry record

NPI
1114407038
Entity type
Individual
Sex (as registered)
Male
NPI issued
20 Aug 2018
Record last updated
20 Aug 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.