Individual
LACEY RUSSELL WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
5154 BAYOU BLVD, PENSACOLA, FL 32503-2102
(850) 416-7548
(850) 416-7776
Mailing address
5045 CARPENTER CREEK DR, PENSACOLA, FL 32503-2521
(850) 416-7548
(850) 416-7776
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
225X00000X
Occupational Therapist
Primary
OTT
FL
Other
Enumeration date
08/01/2018
Last updated
09/23/2020
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