Individual
MRS. LAURIE C PAXTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1901 MEDI PARK DR, SUITE #65, AMARILLO, TX 79106-2110
(806) 468-7611
Mailing address
1901 MEDI PARK DR, SUITE#65, AMARILLO, TX 79106-2110
(806) 468-7611
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
109419
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154872901
—
TX
01
—
8T1071
BCBS ID
TX
Enumeration date
11/20/2006
Last updated
05/11/2011
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