Individual
ELAINE PRINCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4710 67TH ST, LUBBOCK, TX 79414-5004
(806) 796-1774
Mailing address
5225 S LOOP 289 STE 201, LUBBOCK, TX 79424-1319
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
207977
TX
Other
Enumeration date
03/07/2011
Last updated
08/13/2014
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