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1750645628
AMY LAKE
DALLAS, TX
NPI
1750645628
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: TX 110149)
Enumeration Date
2012-06-26
Last Update Date
2012-06-26
Business Address
-- AMY LAKE
2222 WELBORN ST
DALLAS, TX 75219-3924
Phone number: 214-559-7842
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Mailing Address
-- AMY LAKE
2222 WELBORN ST
DALLAS, TX 75219-3924
Phone number: 214-559-7842
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