Individual
LACEY FEEZOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
184 BUFFALO RD, CLARKSVILLE, VA 23927-9010
(434) 374-3025
Mailing address
184 BUFFALO RD, CLARKSVILLE, VA 23927-9010
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131001273
VA
Other
Enumeration date
01/09/2019
Last updated
01/09/2019
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