Individual
LACEY FARMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1041 N FLORIDA ST, BORGER, TX 79007-3703
(806) 274-9856
Mailing address
1041 N FLORIDA ST, BORGER, TX 79007-3703
(806) 274-9856
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
209653
TX
Other
Enumeration date
02/13/2012
Last updated
02/13/2012
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