Individual
LACEY CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
409 GREENE ST, WEBSTER, TX 77598
(281) 332-4738
Mailing address
2516 WINGED DOVE DR, N/A, LEAGUE CITY, TX 77573-3230
(817) 938-2700
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
113341
TX
Other
Enumeration date
08/14/2015
Last updated
08/14/2018
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