LAKE CITIES ELITE PERFORMANCE THERAPY
Occupational Therapy at Red Bluff Dr, Hickory Creek, TX

License number
Texas 563080000
Category
Restorative Service Providers
Type
Occupational Therapist
Owner
Name: ANA HERNANDO OTR, MOT
Title: OWNER/THERAPIST IN CHARGE
Phone: (855) 204-4540
Address
Address
109 Red Bluff Dr, Hickory Creek, TX 75065
National Provider ID: 1437441854
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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LAKE CITIES ELITE PERFORMANCE THERAPY INC

Hickory Creek, TX  -  Denton, TX

Registration:
Apr 14, 2011
Addresses:
109 Red Blf Dr, Lake Dallas, TX 75065 (Mailing)
2412 Old North Rd, Denton, TX 76209
State ID:
0801412166
Business type:
Domestic For-Profit Corporation
President:
Ana V Hernando (President), 109 Red Blf Dr, Lake Dallas, TX 75065
Agent:
Bessire & Co, Llc,2412 Old North Rd, Denton, TX 76209 (Physical)
TIN:
32044052564

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