LACEY AMBER BRELAND

THEODORE, AL
NPI1457609851
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: AL  3232)
Enumeration Date2012-08-16
Last Update Date2012-08-16
Business Address
-- LACEY AMBER BRELAND COTA/L
7970 BELLINGRATH RD
THEODORE, AL 36582
Phone number: 601-270-9667
Mailing Address
-- LACEY AMBER BRELAND COTA/L
7970 BELLINGRATH RD
THEODORE, AL 36582-2763
Phone number: 601-270-9667