Individual
ANNA CHRISTINE LACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2041 HUBBARD RD, MADISON, OH 44057-2565
(440) 428-2664
Mailing address
11341 LAY RD, EDINBORO, PA 16412-1045
(814) 897-5103
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT011162
OH
Other
Enumeration date
07/24/2020
Last updated
07/24/2020
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