Individual
LUCY ROSE ERICSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2222 WELBORN ST, DALLAS, TX 75219-3924
(214) 559-7790
Mailing address
503 BRONCO TRL, OAK POINT, TX 75068-2426
(817) 437-7984
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
119667
TX
Other
Enumeration date
07/02/2019
Last updated
07/02/2019
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