Mrs. Jimma Lanelle Lake, LPTA
Mrs. Jimma Lanelle Lake, LPTA is a Physical Therapy Assistant in Waxahachie, Texas. Practices as a sole proprietor. Licensed in Texas.
- Licensed in
- TX
- In the registry since
- 2007
Practice location Address checks out
112 Vintage DrWaxahachie, TX 75165-6510
Phone: (214) 632-9075
Fax: (972) 923-0493
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Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X · Licence 2012555 (TX) |
|---|
Record details
| NPI number | 1992900336 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LPTA |
| Sole proprietor | Yes |
| NPI enumerated | June 17, 2007 |
| Last updated in NPPES | July 8, 2007 |
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