Wall, Lacey Renee

Wall, Lacey Renee is an individual health care provider with primary practice located at 1514 Owens St , Gadsden AL 35904-4938. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Wall, Lacey Renee can be contacted via phone (256) 543-1030.

Contact Information

Primary practice address
1514 Owens St Gadsden AL 35904-4938
Phone: (256) 543-1030
Fax: (256) 439-2830
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 2153 Alabama

Profile Details

NPI number 1871522565
LBN Legal business name Wall, Lacey Renee
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871522565 NPPES
Alabama Other 515-29758 BLUE CROSS BLUE SHIELD

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