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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LACEY AUTUMN HARRIS, PTA

Active

LACEY AUTUMN HARRIS, PTA is a Occupational Therapist healthcare provider located in MYRTLE BEACH, South Carolina. NPI 1770215063 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · MYRTLE BEACH, SC

Registration Details

NPI Number
1770215063
Provider Type
Individual
Gender
Female
NPI Issued
Jun 27, 2022 (4.1036649228463 yrs)
Last Updated
Jun 27, 2022
License
4887 (SC)

Practice Information

Address
4871 SOCASTEE BLVD UNIT E
MYRTLE BEACH, SC, 295887252
Browse SC providers · Browse ZIP 29588
Phone
8432935610
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in MYRTLE BEACH, SC

Name Credential NPI
SANDRA ELIZABETH VORP P.T.A. 1821028085
MELESSA BARNHILL 1669582383
MRS. AMY A MATHNEY P.T.A. 1679612279
MISS STACEY RENA VANDALL PTA 1679786313
MELINA LEA MILLER PTA 1689981870
ADAM KENDIG PTA 1619284643
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.