Individual
LACEY LEE COOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
150 SAINT ANDREWS CT STE 310, MANKATO, MN 56001-8805
(507) 388-5437
(952) 944-0241
Mailing address
150 SAINT ANDREWS CT STE 310, MANKATO, MN 56001-8805
(507) 388-5437
(507) 388-2108
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
104516
MN
225X00000X
Occupational Therapist
5140
WI
Other
Enumeration date
01/24/2012
Last updated
08/20/2019
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