ANGELA M LACY

INDIANAPOLIS, IN
NPI1629100110
Former NameANGELA M BURCK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: IN  31001390A)
Enumeration Date2007-03-10
Last Update Date2020-01-16
Business Address
Mrs. ANGELA M LACY OTR
6658 E 10TH ST
INDIANAPOLIS, IN 46219-3416
Phone number: 317-840-1077
Mailing Address
Mrs. ANGELA M LACY OTR
6658 E 10TH STREET
INDIANAPOLIS, IN 46219
Phone number: 317-840-1077