Individual
LACEY D. COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3321 AIRBORNE RD, WILMINGTON, OH 45177-8969
(937) 393-1904
Mailing address
3321 AIRBORNE RD, WILMINGTON, OH 45177-8969
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT0121741
OH
Other
Enumeration date
02/02/2024
Last updated
02/02/2024
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