Individual
LACEY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1425 AMERICAN GREETING CARD ROAD, CORBIN, KY 40740
(606) 528-8917
Mailing address
PO BOX 172, LILY, KY 40740-0172
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
08/21/2017
Last updated
08/21/2017
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