Individual
BRITTNEY CARRIO LACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 CRATER LAKE AVE, MEDFORD, OR 97504-6808
(541) 613-6505
(541) 770-9212
Mailing address
113 N ELM ST, CANBY, OR 97013-3519
(541) 613-6505
(541) 770-9212
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
295756
OR
Other
Enumeration date
04/27/2022
Last updated
04/27/2022
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