Individual
LACEY GEDDIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9900 N CENTRAL EXPY STE 225, DALLAS, TX 75231-0918
(214) 265-0420
Mailing address
1491 CAMPBELL RD, WAXAHACHIE, TX 75167-8030
(903) 467-0897
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
214636
TX
Other
Enumeration date
05/03/2018
Last updated
05/03/2018
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