NPI 1063122653

Marvin Lacey, COTA

Practitioner Environmental Modification Occupational Therapy Assistant Knoxville, TN

Practice location

Address: 10133 Sherrill Blvd, Knoxville, TN 37932-3347
Phone: (929) 342-0706
Mailing address: 2560 Key St APT 4l, Toledo, OH 43614-4818

Registered specialties

Environmental Modification Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224ZE0001X Licence 0625

Other Occupational Therapy Assistant providers in Tennessee →

Registry record

NPI: 1063122653
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Dec 2022
Record last updated: 5 Dec 2022

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.