LATISHA STOVALL

Occupational Therapist

Active Individual
NPI: 1518556851

Practice Address

411 N GRAYSTONE LN
Bushland, TX 79124

Phone: (806) 787-8610

Specialties

Specialty Code Primary License
Occupational Therapist - Physical Rehabilitation 225XP0019X No -
Occupational Therapist 225X00000X Yes 111527 (TX)

Frequently Asked Questions

NPI 1518556851 is the National Provider Identifier for LATISHA STOVALL, a Occupational Therapist provider located in Bushland, TX. This NPI was enumerated on January 12, 2021.
LATISHA STOVALL practices at 411 N GRAYSTONE LN, Bushland, TX 79124.

Quick Facts

NPI
1518556851
Type
Individual
Enumerated
Jan 12, 2021
Last Updated
Jan 21, 2021

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