LACEY HOLDER

RICHARDSON, TX
NPI1104124676
Former NameLACEY FEDUKE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225XP0200X Occupational Therapist, Pediatrics
(Licence: TX  113964)
Enumeration Date2011-03-08
Last Update Date2013-08-06
Business Address
-- LACEY HOLDER OTR/L
2201 N CENTRAL EXPY STE 110
RICHARDSON, TX 75080-2718
Phone number: 214-265-1819
Mailing Address
-- LACEY HOLDER OTR/L
2201 N CENTRAL EXPY STE 110
RICHARDSON, TX 75080-2718
Phone number: