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1306356027
MATTHEW LEVI LACY
LITTLE ROCK, AR
NPI
1306356027
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
Enumeration Date
2017-10-08
Last Update Date
2024-11-25
Business Address
MATTHEW LEVI LACY OTR/L
8901 CARTI WAY
LITTLE ROCK, AR 72205-6523
Phone number: 501-906-3000
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Mailing Address
MATTHEW LEVI LACY OTR/L
PO BOX 55050
LITTLE ROCK, AR 72215-5050
Phone number: 501-906-3000
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