Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LACEY ANTONIO, PTA
Active Sole ProprietorLACEY ANTONIO, PTA is a Occupational Therapist healthcare provider located in LEESBURG, Georgia. NPI 1679233100 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · LEESBURG, GA
Registration Details
- NPI Number
- 1679233100
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 24, 2021 (4.5963007431202 yrs)
- Last Updated
- Dec 24, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
1360 LOVERS LANE RDLEESBURG, GA, 317634544Browse GA providers · Browse ZIP 31763
- Phone
- 2298812594
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in LEESBURG, GA
| Name | Credential | NPI |
|---|---|---|
| KAYLA DANIELLE BROCK | PTA | 1356804611 |
| KIMBERLY MINCHEW HAMILTON | — | 1689335721 |
| KEVIN BASS | — | 1326836735 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.