LACEY BROOKE JOHNSON

ANDERSON, SC
NPI1770684995
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: SC  2993)
Enumeration Date2006-09-26
Last Update Date2007-07-08
Business Address
-- LACEY BROOKE JOHNSON MHS, OTR/L
1501 E GREENVILLE ST
ANDERSON, SC 29621-2004
Phone number: 864-226-8356
Mailing Address
-- LACEY BROOKE JOHNSON MHS, OTR/L
205 TIARA CT
ANDERSON, SC 29625-2770
Phone number: