Individual
BRITTANY KALEA LACKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
184 BUFFALO RD, CLARKSVILLE, VA 23927-9010
(434) 206-3100
Mailing address
3118 MORTONS FERRY RD, NATHALIE, VA 24577-3056
(434) 471-3759
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
04/01/2025
Last updated
04/01/2025
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