Individual
MRS. KAREN KAY LACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
7277 HAWKINS VIEW DR, FORT WORTH, TX 76132-3921
(817) 423-5611
(817) 423-5577
Mailing address
7277 HAWKINS VIEW DR, FORT WORTH, TX 76132-3921
(817) 423-5611
(817) 423-5577
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
104924
TX
Other
Enumeration date
03/08/2012
Last updated
03/08/2012
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