NPI 1013507201

Lacy Nowicki, OTRL

Practitioner Occupational Therapist Kenosha, WI

Practice location

Address: 10222 74th St STE 211, Kenosha, WI 53142-6810
Phone: (262) 925-5020
Mailing address: 2550 W Tyvola Rd STE 350, Charlotte, NC 28217-4574

Registered specialties

Occupational Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X Licence 719-26 (WI)

Other Occupational Therapist providers in Wisconsin →

Registry record

NPI: 1013507201
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Jan 2021
Record last updated: 24 Feb 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.