Individual
LAURI K. STAPLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
19965 FM 3175 NORTH, LYTLE, TX 78052
(210) 357-0369
(210) 357-0369
Mailing address
PO BOX 725, LYTLE, TX 78052-0725
(210) 357-0369
(210) 357-0458
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
110027
TX
Other
Enumeration date
03/26/2007
Last updated
07/09/2007
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