Provider Demographics
NPI:1215177720
Name:MENSING, LACHELL MARIE (MS, OTR/L)
Entity type:Individual
Prefix:MRS
First Name:LACHELL
Middle Name:MARIE
Last Name:MENSING
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6015 WATERS EDGE TRL
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30075-8275
Mailing Address - Country:US
Mailing Address - Phone:360-989-6710
Mailing Address - Fax:470-292-3300
Practice Address - Street 1:6015 WATERS EDGE TRL
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30075-8275
Practice Address - Country:US
Practice Address - Phone:360-989-6710
Practice Address - Fax:470-292-3300
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-23
Last Update Date:2020-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOT004876225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics