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1568945970
MICAELA C LACEY
ROYAL OAK, MI
NPI
1568945970
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MI 5201010079)
Enumeration Date
2018-09-11
Last Update Date
2018-09-11
Business Address
MICAELA C LACEY OTR/L
3601 W 13 MILE RD
ROYAL OAK, MI 48073-6712
Phone number: 248-898-5000
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Mailing Address
MICAELA C LACEY OTR/L
6396 WOODBROOK CT
LINDEN, MI 48451-9671
Phone number: 810-814-5420
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ROYAL OAK PEDIATRIC THERAPIES, LLC