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Individual

LACEY ROBERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
X

Contact information

Practice address
3803 RAINBOW DR, RAINBOW CITY, AL 35906-3025
(706) 767-3085
Mailing address
695 MOUNTAIN HOME LOOP, CEDARTOWN, GA 30125-4237
(706) 767-3085

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6997
AL

Other

Enumeration date
05/12/2026
Last updated
05/12/2026
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