Individual
LACEY HOLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2201 N CENTRAL EXPY STE 110, RICHARDSON, TX 75080-2718
(214) 265-1819
Mailing address
2201 N CENTRAL EXPY STE 110, RICHARDSON, TX 75080-2718
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
113964
TX
Other
Enumeration date
03/08/2011
Last updated
08/06/2013
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