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1043617491
EMILY PROCTER
SOUTHLAKE, TX
NPI
1043617491
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: TX 115971)
Enumeration Date
2014-12-01
Last Update Date
2014-12-01
Business Address
-- EMILY PROCTER OTR/L
201 WATERMERE DR
SOUTHLAKE, TX 76092-8137
Phone number: 817-482-1340
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Mailing Address
-- EMILY PROCTER OTR/L
PO BOX 121
GORDON, TX 76453-0121
Phone number: 254-413-3083
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