Individual
ISABELLE LACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
5912 OKEECHOBEE BLVD, WEST PALM BEACH, FL 33417-4324
(800) 650-5289
Mailing address
15848 86TH RD N, LOXAHATCHEE, FL 33470-2839
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
9108
FL
Other
Enumeration date
11/20/2018
Last updated
11/20/2018
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