Individual
MS. LACIE FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3030 NW EXPWY STE 809, OKLAHOMA CITY, OK 73112-5466
(866) 848-8813
Mailing address
2512 PIONEER LN, MOORE, OK 73160-4116
(405) 412-7802
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1527
OK
Other
Enumeration date
07/19/2017
Last updated
06/16/2018
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