Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lacey Gibson

Individual provider Occupational Therapy Assistant · NPI 1619479581

Lacey Gibson is an Occupational Therapy Assistant in Arroyo Grande, California. Licensed in California. Registered with an NPI since 2018.

Licensed in
CA
In the registry since
2018
Specialties on file
2

Practice location Address checks out

102 E Branch St Ste G
Arroyo Grande, CA 93420-2738
Phone: (805) 936-0374
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 116400 (CA)
Occupational Therapy Assistant Taxonomy 224Z00000X

Record details

NPI number1619479581
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 6, 2018
Last updated in NPPESMarch 10, 2026
Certification dateMarch 10, 2026
Mailing address251 S Oak Park Blvd Apt 44, Grover Beach, CA 93433-4214

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