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Individual

KELSEY LAUREN W. SINCLAIR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOT, OTR

Contact information

Practice address
13720 MIDWAY RD, SUITE 107, DALLAS, TX 75244-4313
(214) 646-1449
(214) 516-7979
Mailing address
13720 MIDWAY RD, SUITE 107, DALLAS, TX 75244-4313
(214) 646-1449
(214) 516-7979

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
115905
TX
225XP0200X
Pediatric Occupational Therapist
305226
TX

Other

Enumeration date
01/29/2014
Last updated
04/29/2015
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