Organization
LACEE NEIDIGH MOTR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LACEE MILLICENT NEIDIGH OTR (OWNER)
(281) 224-3833
Entity
Organization
Contact information
Practice address
1461 HAVENBROOK LN, PROSPER, TX 75078-0328
(281) 224-3833
Mailing address
1461 HAVENBROOK LN, PROSPER, TX 75078-0328
(281) 224-3833
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
06/20/2022
Last updated
06/20/2022
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