Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LACIE LEE WILSON
Active Sole ProprietorLACIE LEE WILSON is a Occupational Therapy Assistant healthcare provider located in NEW JOHNSONVILLE, Tennessee. NPI 1770155905 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · NEW JOHNSONVILLE, TN
Registration Details
- NPI Number
- 1770155905
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 16, 2021 (5.0856767889204 yrs)
- Last Updated
- Jul 16, 2021
- License
-
1995 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1167 MILL RDNEW JOHNSONVILLE, TN, 371342370Browse TN providers · Browse ZIP 37134
- Phone
- 7318453443
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
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.