LACY MARIE DEITRICK

COLUMBIA, SC
NPI1669128195
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
Enumeration Date2022-02-23
Last Update Date2022-02-23
Business Address
Dr. LACY MARIE DEITRICK OTD, OTR/L, CFSC
4500 STUART ST
COLUMBIA, SC 29207-5700
Phone number: 803-751-2160
Mailing Address
Dr. LACY MARIE DEITRICK OTD, OTR/L, CFSC
124 WOODS EDGE CT
WEST LAFAYETTE, IN 47906-5725
Phone number: 765-427-8697