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1871522565
LACEY RENEE WALL
GADSDEN, AL
NPI
1871522565
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: AL 2153)
Enumeration Date
2006-07-03
Last Update Date
2007-07-09
Business Address
-- LACEY RENEE WALL OTR
1514 OWENS ST
GADSDEN, AL 35904-4938
Phone number: 256-543-1030
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Mailing Address
-- LACEY RENEE WALL OTR
1514 OWENS ST
GADSDEN, AL 35904-4938
Phone number: 256-543-1030
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