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1013507201
LACY NOWICKI
KENOSHA, WI
NPI
1013507201
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: WI 719-26)
Enumeration Date
2021-01-21
Last Update Date
2023-02-24
Business Address
LACY NOWICKI OTR/L
10222 74TH ST STE 211
KENOSHA, WI 53142-6810
Phone number: 262-925-5020
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Mailing Address
LACY NOWICKI OTR/L
2550 W TYVOLA RD STE 350
CHARLOTTE, NC 28217-4574
Phone number: 419-221-3004
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