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1104124676
LACEY HOLDER
RICHARDSON, TX
NPI
1104124676
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Former Name
LACEY FEDUKE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: TX 113964)
Enumeration Date
2011-03-08
Last Update Date
2013-08-06
Business Address
-- LACEY HOLDER OTR/L
2201 N CENTRAL EXPY STE 110
RICHARDSON, TX 75080-2718
Phone number: 214-265-1819
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Mailing Address
-- LACEY HOLDER OTR/L
2201 N CENTRAL EXPY STE 110
RICHARDSON, TX 75080-2718
Phone number:
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