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1093279366
LAWRENCE D SKIDMORE
IRVING, TX
NPI
1093279366
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: TX 119633)
Enumeration Date
2019-01-30
Last Update Date
2019-01-30
Business Address
Mr. LAWRENCE D SKIDMORE OTR/L
2709 WESLEYAN DR
IRVING, TX 75062-7197
Phone number: 214-263-6942
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Mailing Address
Mr. LAWRENCE D SKIDMORE OTR/L
2709 WESLEYAN DR
IRVING, TX 75062-7197
Phone number:
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