Individual
MRS. LIZZ LACKEY WAPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTAL
Contact information
Practice address
300 HOSPITAL ST, MOULTON, AL 35650
(256) 974-1146
Mailing address
1115 JODI CIR SE, HARTSELLE, AL 35640-3390
(256) 303-7090
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2698
AL
Other
Enumeration date
01/09/2007
Last updated
03/13/2015
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