Individual
JANET MAY LACEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.L.
Contact information
Practice address
5757 GAINES ST, APT. D, SAN DIEGO, CA 92110-1763
(858) 272-4376
Mailing address
5757 GAINES ST, APT. D, SAN DIEGO, CA 92110-1763
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT7923
CA
Other
Enumeration date
11/30/2011
Last updated
11/30/2011
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