Individual
LACY MARIE POIENCOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
120 WHITE ROSE DR, RACELAND, LA 70394-2644
(985) 532-9662
(985) 532-3942
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTT.Z12341
LA
Other
Enumeration date
04/26/2008
Last updated
07/16/2014
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