Individual
MATTHEW LEVI LACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
8901 CARTI WAY, LITTLE ROCK, AR 72205-6523
(501) 906-3000
(501) 907-8367
Mailing address
PO BOX 55050, LITTLE ROCK, AR 72215-5050
(501) 906-3000
(501) 907-8367
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
10/08/2017
Last updated
11/25/2024
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