Individual
MR. LAWRENCE D SKIDMORE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
2709 WESLEYAN DR, IRVING, TX 75062-7197
(214) 263-6942
Mailing address
2709 WESLEYAN DR, IRVING, TX 75062-7197
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
119633
TX
Other
Enumeration date
01/30/2019
Last updated
01/30/2019
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