Katelyn Elizabeth Lacy, OTD
Occupational Therapist in Sherwood, AR. Individual provider (NPI-1).
NPI number1366042533
StatusActive
Last updated in NPPESOct 27, 2020
Details
- NPI
- 1366042533
- Entity type
- Individual (NPI-1)
- Name
- Katelyn Elizabeth Lacy
- Credential
- OTD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 27, 2020
- Certification date
- Oct 27, 2020
- Last updated
- Oct 27, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | OTR3437 | AR | Yes |
Practice location
2201 Wildwood AveSherwood, AR 72120-5074
Phone 501-834-1800
Mailing address
17 Joshua CirConway, AR 72032-9616
Phone 501-516-7775
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