Lawrence D Skidmore Jr., OTR/L
Occupational Therapist in Irving, TX. Individual provider (NPI-1).
NPI number1093279366
StatusActive
Last updated in NPPESJan 30, 2019
Details
- NPI
- 1093279366
- Entity type
- Individual (NPI-1)
- Name
- Mr. Lawrence D Skidmore Jr.
- Credential
- OTR/L
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 30, 2019
- Last updated
- Jan 30, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 119633 | TX | Yes |
Practice location
2709 Wesleyan DrIrving, TX 75062-7197
Phone 214-263-6942
Mailing address
2709 Wesleyan DrIrving, TX 75062-7197
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