LACY COOPER

SUMMIT, MS
NPI1275999583
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: MS  OT2628)
Enumeration Date2016-01-04
Last Update Date2016-01-04
Business Address
LACY COOPER
4109 HIGHWAY 98 W
SUMMIT, MS 39666-9132
Phone number: 601-276-3900
Mailing Address
LACY COOPER
4109 HIGHWAY 98 W
SUMMIT, MS 39666-9132
Phone number: 601-276-3909
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