Individual
LACY BRASWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
9805 FM 2219, AMARILLO, TX 79119-0071
(806) 705-8866
Mailing address
5707 EVERETT AVE, AMARILLO, TX 79106-5008
(806) 662-3932
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
213319
TX
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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