MARVIN LACEY

KNOXVILLE, TN
NPI1063122653
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224ZE0001X Occupational Therapy Assistant Environmental Modification
(Licence:   0625)
Enumeration Date2022-12-05
Last Update Date2022-12-05
Business Address
MARVIN LACEY COTA
10133 SHERRILL BLVD
KNOXVILLE, TN 37932-3347
Phone number: 929-342-0706
Mailing Address
MARVIN LACEY COTA
2560 KEY ST APT 4L
TOLEDO, OH 43614-4818
Phone number: 419-917-2322
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