Individual
LACIE SPAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
705 WALTER REED BLVD STE 100, GARLAND, TX 75042-5726
(972) 487-5570
Mailing address
705 WALTER REED BLVD STE 100, GARLAND, TX 75042-5726
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
113831
TX
Other
Enumeration date
01/08/2014
Last updated
01/08/2014
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