Individual
HILARY E LACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
004310
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004310
OT LICENSE
MO
01
—
01710
OT LICENSE
IA
01
—
1015929
NBCOT REGISTRATION
—
01
—
1177
OT LICENSE
NE
Enumeration date
02/20/2007
Last updated
07/08/2007
Update your record
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