LACY CHEYENNE RICHARDSON

DALLAS, TX
NPI1356849475
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: TX  214880)
Enumeration Date2018-01-23
Last Update Date2018-01-23
Business Address
LACY CHEYENNE RICHARDSON COTA
6301 GASTON AVE
DALLAS, TX 75214-3922
Phone number: 214-295-5374
Mailing Address
LACY CHEYENNE RICHARDSON COTA
6301 GASTON AVE
DALLAS, TX 75214-3922
Phone number: 214-295-5374
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