Individual
MISS KRYSTYNA MICHELLE LACEFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
15820 ADDISON RD, ADDISON, TX 75001-3549
(866) 919-3240
Mailing address
1125 N ROSS AVE APT 4, MEXIA, TX 76667-2201
(903) 388-2494
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
216899
TX
Other
Enumeration date
07/11/2021
Last updated
07/11/2021
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