Individual
LACEY BLANCHARD MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LOTR
Contact information
Practice address
309 SPRINGWATER DR, BROUSSARD, LA 70518-4796
(337) 552-1147
Mailing address
309 SPRINGWATER DR, BROUSSARD, LA 70518-4796
(337) 552-1147
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
08/10/2021
Last updated
08/10/2021
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