Individual
LARISSA J ELLIS DUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1901 N AMBURN RD, TEXAS CITY, TX 77591-2488
(409) 933-1687
(409) 933-1687
Mailing address
2222 SULLIVAN TRL, EASTON, PA 18040-7958
(800) 944-9782
(610) 438-2046
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
110377
TX
Other
Enumeration date
07/08/2010
Last updated
07/01/2013
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