JUSTIN DAVID LACKEY

PHOENIX, AZ
NPI1477387835
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225XP0200X Occupational Therapist, Pediatrics
(Licence: AZ  009730)
Enumeration Date2024-08-28
Last Update Date2024-08-28
Business Address
JUSTIN DAVID LACKEY OTD, OTR/L
2120 E PARK VIEW LN
PHOENIX, AZ 85024-5302
Phone number: 805-338-3361
Mailing Address
JUSTIN DAVID LACKEY OTD, OTR/L
2120 E PARK VIEW LN
PHOENIX, AZ 85024-5302
Phone number: 805-338-3361
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