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Individual

LUCY ANIEFON UDOFIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
3834 FLATWOOD DR, KATY, TX 77449-7518
(903) 258-3572
Mailing address
3834 FLATWOOD DR, KATY, TX 77449-7518
(903) 258-3572

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
214666
TX

Other

Enumeration date
01/12/2018
Last updated
01/12/2018
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