Individual
LACEY ALEXUS MEIERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2600 DEMERS AVE STE 101, GRAND FORKS, ND 58201-4100
(701) 737-5437
Mailing address
2600 DEMERS AVE STE 101, GRAND FORKS, ND 58201-4100
(701) 739-5437
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1687
ND
Other
Enumeration date
08/22/2019
Last updated
08/22/2019
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