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Lacy Rose Miles, COTA

Occupational Therapy Assistant in Lufkin, TX. Individual provider (NPI-1).

NPI number1669018917
StatusActive
Last updated in NPPESNov 21, 2019

Details

NPI
1669018917
Entity type
Individual (NPI-1)
Name
Lacy Rose Miles
Credential
COTA
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 21, 2019
Last updated
Nov 21, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
224Z00000X Occupational Therapy Assistant216015TXYes

Practice location

415 S 1st St Ste 300a
Lufkin, TX 75901-3863

Phone 936-225-1174

Mailing address

204 Price St
Marshall, TX 75670-3523

Phone 903-742-1997

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Other Occupational Therapy Assistant providers in Lufkin, TX

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