Lacey Blanchard Martinez, LOTR

NPI #1184399420 in Broussard, Louisiana

Provider Information

NPI Number: 1184399420
Entity Type: Individual
Name: Lacey Blanchard Martinez, LOTR
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: LOTR
Enumeration Date: Aug 10, 2021
Last Updated: Aug 10, 2021

Practice Location

Address: 309 SPRINGWATER DR
City: Broussard
State: Louisiana
ZIP Code: 70518-4796
Phone: (337) 552-1147

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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