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1851894034
LACEY SMITH
PHILADELPHIA, PA
NPI
1851894034
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: PA OP008943)
Enumeration Date
2018-03-14
Last Update Date
2018-03-14
Business Address
LACEY SMITH
650 EDISON AVE
PHILADELPHIA, PA 19116-1237
Phone number: 215-856-5766
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Mailing Address
LACEY SMITH
650 EDISON AVE
PHILADELPHIA, PA 19116-1237
Phone number:
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