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1902923931
PATRICIA LEE ICE
FORT WORTH, TX
NPI
1902923931
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 208577)
Enumeration Date
2007-03-23
Last Update Date
2007-07-08
Business Address
-- PATRICIA LEE ICE
508 S ADAMS ST
FORT WORTH, TX 76104-2147
Phone number: 817-878-2834
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Mailing Address
-- PATRICIA LEE ICE
1937 CIMARRON TRL
HURST, TX 76054-3150
Phone number:
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