Lacy Nowicki, OTR/L

NPI #1013507201 in Kenosha, Wisconsin

Provider Information

NPI Number: 1013507201
Entity Type: Individual
Name: Lacy Nowicki, OTR/L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTR/L
Enumeration Date: Jan 21, 2021
Last Updated: Feb 24, 2023

Practice Location

Address: 10222 74TH ST STE 211
City: Kenosha
State: Wisconsin
ZIP Code: 53142-6810
Phone: (262) 925-5020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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