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Contact Information

MARVIN LACEY, COTA
10133 SHERRILL BLVD
KNOXVILLE, TN37932-3347
 Phone: 929-342-0706
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Environmental Modification

224ZE0001X
Indicates primary specialty

NPI Profile & details for MARVIN LACEY · (Male)

NPI # 1063122653
Status Active
Credentials COTA (Certified Occupational Therapy Assistant)
Entity Individual
Enumeration date 12/05/2022
Last updated 12/05/2022 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • License # 0625
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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