Individual
KAYCI DAWN LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
290 COUNTRY RIDGE RD UNIT 37, LEWISVILLE, TX 75067-4503
(972) 953-6689
Mailing address
290 COUNTRY RIDGE RD UNIT 37, LEWISVILLE, TX 75067-4503
(972) 953-6689
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
216424
TX
Other
Enumeration date
10/05/2020
Last updated
10/05/2020
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