Individual
LACEY MELISSA HOBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2448 S 102ND ST STE 340, MILWAUKEE, WI 53227-2147
(414) 329-2428
Mailing address
N4861 MADDEN RD, NEW LONDON, WI 54961-8328
(920) 878-0409
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
356797
WI
Other
Enumeration date
12/30/2017
Last updated
12/30/2017
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