Individual
LUCY DEBLANC FIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
4201 FM 105, ORANGE, TX 77630-1272
(409) 670-1457
Mailing address
1005 REBECCA LN, BRIDGE CITY, TX 77611-3128
(409) 738-2773
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
100494
TX
Other
Enumeration date
06/13/2007
Last updated
07/08/2007
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